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CORRESPONDENCE| Volume 20, ISSUE 4, P372-373, October 2011

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Epidural anaesthesia for a parturient with Henoch–Schonlein purpura

Published:September 12, 2011DOI:https://doi.org/10.1016/j.ijoa.2011.07.009
      Henoch–Schonlein purpura (HSP) is a small vessel vasculitis characterised by the deposition of IgA antibodies and immune complexes in blood vessels and renal mesangium.
      • Saulsbury F.T.
      Clinical update: Henoch–Schönlein purpura.
      It affects children more commonly than adults, although it can occur at any age.
      • Kellerman P.S.
      Henoch–Schönlein purpura in adults.
      The classic triad of HSP is that of purpura, arthritis and abdominal pain. HSP nephritis is a common complication which may lead to renal failure.
      • Goldstein A.R.
      • White R.H.R.
      • Akuse R.
      • Chantler C.
      Long-term follow-up of childhood Henoch–Schonlein nephritis.
      There is also an associated risk of haemorrhagic complications involving lungs, brain, gastrointestinal tract and urinary system.
      • Chiaretti A.
      • Caresta E.
      • Piastra M.
      • Pulitano S.
      • Di Rocco C.
      Cerebral hemorrhage in Henoch–Schönlein syndrome.
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