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Hypertension as a Late Sequela of Henoch-Schönlein Purpura

Department of Internal Medicine D, Tel Hashomer Medical Center, Ramat Gan, Israel and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel

Keren Elishkevitz, MD

Department of Pediatrics C, Schneider Children’s Medical Center of Israel, Petah Tikva and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel

Benjamin Volovitz, MD

Department of Pediatrics C, Schneider Children’s Medical Center of Israel, Petah Tikva and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel

Moshe Nussinovitch, MD

Department of Pediatrics C, Schneider Children’s Medical Center of Israel, Petah Tikva and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel

The development of hypertension was examined several years after an episode of Henoch-Schönlein purpura (HSP) in children with or without urinary abnormalities or hypertension at diagnosis. Medical records of 155 children (mean age 6.8±2.3) with HSP from 1969 to 1997 were reviewed for a specific description of renal involvement, blood pressure, and urinary abnormalities. The study group consisted of 86 boys (55.47%) and 69 girls (44.53%); 30% had renal involvement, 5 among them presented with nephritic-nephrotic syndrome. Hypertension was found in 7 patients with HSP on long-term follow-up including the 5 who had nephritic-nephrotic syndrome at presentation, 1 who had macroscopic hematuria but normal blood pressure, and 1 with normal urine and normal blood pressure. These data emphasize the need for regular monitoring of children with HSP with or without renal findings.

Clinical Pediatrics, Vol. 44, No. 6, 543-547 (2005)
DOI: 10.1177/000992280504400613


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