Librería Samer Atenea
Librería Aciertas (Toledo)
Kálamo Books
Librería Perelló (Valencia)
Librería Elías (Asturias)
Donde los libros
Librería Kolima (Madrid)
Librería Proteo (Málaga)
With the aim of analyzing the clinical and evolutionary features of rheumatoid purpura in children, we retrospectively studied 111 cases collected in a pediatric department over a 19-year period. The sex ratio was 1.4. The mean age was 6 years (1-16 years). Diagnosis was based on the constant presence of a cutaneous syndrome consisting of symmetrical purpuric lesions electively affecting the declive regions, associated with an articular syndrome (84 cases) and/or a digestive syndrome (72 cases). Renal involvement was observed in 30% of cases. Nephrotic syndrome was noted in 3 patients, 2 of whom developed renal failure. The most frequent complications were digestive (21.6%). Treatment was purely symptomatic in the majority of cases (95.5%). Four patients required corticosteroid therapy because of severe abdominal pain or nephrotic syndrome. Only one patient required the introduction of a cortico-resistant nephrotic syndrome. The majority of patients had a favourable outcome. Relapse or recurrence was noted in 7 cases and 4 respectively.
