HSP

Question 1

What is HSP?

Answer 1

IgA mediated small vessel vasculitis

Question 2

HSP overlaps with what other condition?

Answer 2

IgA Nephropathy

Question 3

Clinical features of HSP

Answer 3

• palpable purpuric rash over buttocks and extensor surfaces of arms and legs
• abdominal pain
• polyarthritis
• features of IgA nephropathy e.g. haematuria, renal failure

Question 4

Management of HSP

Answer 4

• analgesia for arthralgia
• supportive tx of nephropathy
  (no role for immunosuppressants/steroids)

Question 5

Prognosis of HSP

Answer 5

usually excellent - especially in children without renal involvement

Self-limiting condition,

Question 6

What proportion of children with HSP develop a relapse?

Answer 6

1/3

Question 7

What parameters should be monitored to check for renal involvement?

Answer 7

blood pressure
urinalysis