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Wheeless' Textbook of Orthopaedics
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Henoch Schonlein Purpura



- Discussion:
    - a vasculitis of unknown etilogy;
    - mean age of onset is 6 years;
    - small vessel vasculitis involving:
    - skin:
          - rash is typically from the waist down;
          - rash begins w/ urticaria but quickly turns to petechiae and then to purpura;
    - joints
          - most often affects knees and ankles;
          - is usually painful, and relieved w/ non steroidals;
          - arthritis typically lasts less than 6 weeks;
    - gut:
          - severe episodic abdominal pain and hematochezia;
          - occassionally, intussusception occurs;
    - kidneys:
          - microscopic hematuria is the most common manifestation;
          - rarely renal failure may occur;



Review Article: Current Concepts: Polyarthritis And Fever.




Original Text by Clifford R. Wheeless, III, MD.