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Ishihama Y, Fukumoto K, Watanabe R, Nakatani S, Tsuda A, Otoshi T, Yamada K, Yamada S, Negoro N, Emoto M, Hashimoto M. Retroperitoneal fibrosis requiring prompt nephrostomy in a case with immunoglobulin A vasculitis. Scand J Rheumatol 2022; 51:419-421. [PMID: 35658823 DOI: 10.1080/03009742.2022.2047312] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Y Ishihama
- Department of Clinical Immunology, Osaka City University Graduate School of Medicine, Osaka, Japan
| | - K Fukumoto
- Department of Clinical Immunology, Osaka City University Graduate School of Medicine, Osaka, Japan
| | - R Watanabe
- Department of Clinical Immunology, Osaka City University Graduate School of Medicine, Osaka, Japan
| | - S Nakatani
- Department of Metabolism, Endocrinology, and Molecular Medicine, Osaka City University Graduate School of Medicine, Osaka, Japan
| | - A Tsuda
- Department of Metabolism, Endocrinology, and Molecular Medicine, Osaka City University Graduate School of Medicine, Osaka, Japan
| | - T Otoshi
- Department of Urology, Osaka City University Graduate School of Medicine, Osaka, Japan
| | - K Yamada
- Department of Dermatology, Osaka City University Graduate School of Medicine, Osaka, Japan
| | - S Yamada
- Department of Clinical Immunology, Osaka City University Graduate School of Medicine, Osaka, Japan
| | - N Negoro
- Department of Clinical Immunology, Osaka City University Graduate School of Medicine, Osaka, Japan
| | - M Emoto
- Department of Metabolism, Endocrinology, and Molecular Medicine, Osaka City University Graduate School of Medicine, Osaka, Japan
| | - M Hashimoto
- Department of Clinical Immunology, Osaka City University Graduate School of Medicine, Osaka, Japan
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Kang Z, Wu W, Xun M, Ding Y, Li Z. Henoch-Schönlein Purpura /IgA Vasculitis Complicated by Coronary Artery Aneurysm: A Case Report and Literature Review. Front Pediatr 2021; 9:781106. [PMID: 35186817 PMCID: PMC8850625 DOI: 10.3389/fped.2021.781106] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/22/2021] [Accepted: 12/20/2021] [Indexed: 12/19/2022] Open
Abstract
Henoch-Schönlein purpura (HSP)/ IgA vasculitis (IgAV) is the most common form of systemic vasculitis in children and often involves the skin, gastrointestinal tract, joints, and kidneys, though cardiac involvement rarely occurs. We report on a 6-year-old male child with HSP/IgAV who had renal and cardiac involvement at the initial stage of the disease and in whom we found an extremely rare coronary artery aneurysm. After administration of glucocorticoid combined with mycophenolate mofetil, the renal involvement improved, but the coronary artery aneurysm remained. Pursuant to this case, we retrieved information on other cases of HSP/IgAV complicated with cardiac involvement from the PubMed database, and excluded cases of cardiac involvement accompanied by Kawasaki disease, polyarteritis nodosa, rheumatic fever, Takayasu arteritis, systemic lupus erythematosus, poststreptococcal glomerulonephritis, or sepsis. We then analyzed gender, age, cardiac involvement, renal involvement, treatment, and prognoses. To date, 24 cases of HSP/IgAV complicated with cardiac involvement have been reported. Among them, there were 22 male and 2 female patients, with the onset age ranging from 3 to 71 years old. A total of 10 children (including the child we examined) and 14 adults were identified, and 17 patients (70.8%) had HSP/IgAV complicated with renal involvement. The majority of patients were treated with glucocorticoid and/or immunosuppressants or biological agents, 4 patients died (16.7%), 8 patients were completely relieved (33.3%), and 3 patients had unknown prognoses. This article suggests that HSP/IgAV complicated with cardiac involvement may result in a poor prognosis and early treatment may therefore be essential. Our case revealed that glucocorticoid does not prevent the occurrence of renal and cardiac involvement in HSP/IgAV patients. If HSP/IgAV is complicated with coronary artery dilation, the therapeutic effect of glucocorticoid combined with immunosuppressants is not satisfactory, and early administration of biological agents or IVIG may be an effective therapeutic regimen.
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Affiliation(s)
- Zhijuan Kang
- Department of Nephrology, Rheumatology and Immunology, Hunan Children's Hospital, Changsha, China.,The School of Pediatrics, Hengyang Medical School, University of South China, Changsha, China
| | - Wentao Wu
- The School of Pediatrics, Hengyang Medical School, University of South China, Changsha, China
| | - Mai Xun
- Department of Nephrology, Rheumatology and Immunology, Hunan Children's Hospital, Changsha, China.,The School of Pediatrics, Hengyang Medical School, University of South China, Changsha, China
| | - Yunfeng Ding
- Department of Nephrology, Rheumatology and Immunology, Hunan Children's Hospital, Changsha, China.,The School of Pediatrics, Hengyang Medical School, University of South China, Changsha, China
| | - Zhihui Li
- Department of Nephrology, Rheumatology and Immunology, Hunan Children's Hospital, Changsha, China.,The School of Pediatrics, Hengyang Medical School, University of South China, Changsha, China
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Kurt T, Aydin F, Karabulut B, Bayrakçı US, Uncu N, Acar B. Acute kidney injury and perinephric fluid collection: Answers. Pediatr Nephrol 2020; 35:983-984. [PMID: 31858225 DOI: 10.1007/s00467-019-04442-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/22/2019] [Accepted: 11/27/2019] [Indexed: 11/29/2022]
Affiliation(s)
- Tuba Kurt
- Ankara City Hospital, Ankara, Turkey.
| | | | | | | | | | - Banu Acar
- Ankara City Hospital, Ankara, Turkey
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Sharma V, Sethi SK, Raina R, Bansal S, Baijal SS, Kher V. A boy with IgA vasculitis and anuria: Answers. Pediatr Nephrol 2020; 35:401-402. [PMID: 31773264 DOI: 10.1007/s00467-019-04355-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/26/2019] [Accepted: 08/26/2019] [Indexed: 11/28/2022]
Affiliation(s)
- Vivek Sharma
- Department of Radiology, Medanta, The Medicity, Gurgaon, Haryana, 122001, India
| | - Sidharth Kumar Sethi
- Kidney and Urology Institute, Medanta, The Medicity, Gurgaon, Haryana, 122001, India.
| | - Rupesh Raina
- Pediatric Nephrology, Akron Children's Hospital, Akron, Ohio, Cleveland, Ohio, USA
| | - Shyam Bansal
- Kidney and Urology Institute, Medanta, The Medicity, Gurgaon, Haryana, 122001, India
| | - S S Baijal
- Department of Radiology, Medanta, The Medicity, Gurgaon, Haryana, 122001, India
| | - Vijay Kher
- Kidney and Urology Institute, Medanta, The Medicity, Gurgaon, Haryana, 122001, India
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