| Autor: |
O I, Desinor-Mompoint, S, García-De la Puente, B, de León-Bojorge, J L, Pablos-Hach, S, Zaltzman-Girshevych |
| Rok vydání: |
1991 |
| Předmět: |
|
| Zdroj: |
Boletin medico del Hospital Infantil de Mexico. 48(10) |
| ISSN: |
0539-6115 |
| Popis: |
Over one hundred patients diagnosed with vascular purpura at the National Institute of Pediatrics between 1979 and 1988 were retrospectively studied. Frequency was similar for both sexes. 82% were between the ages of six months and 11 years old. The extrarenal clinical manifestations were: petechias in 98%; abdominal pain 78% arthralgias 45%; melena 39%; and arthritis in 19% of the cases, 49 patients had nephropathy of different degrees and they did differently, 32 had hematuria with or without proteinuria within a nephrotic range, seven suffered from a nephrotic syndrome, one with a nephritic syndrome and nine others had a combination of two or three syndromes (nephritic/nephrotic/renal failure) with an unfavorable evolution towards terminal renal failure in eight of them; on the other hand, this was not seen in the remaining patients. Thirteen renal biopsies were taken from patients with more severe clinical manifestations, finding in them mesangial proliferation or endo- and extracapillary proliferation. These findings suggest that the initial clinical presentation of the illness allows for the prediction of the future. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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