Tuesday 28 September 2010

MRCP revision battle 23.1: Henoch Schonlein purpura

No energy for an interesting introduction today... lets dive straight into the battles...



MRCP revision battle 23.1: Henoch Schonlein purpura
MRCP revision battle 23.2: Parinaud's syndrome
MRCP revision battle 23.3: Polymyositis and Dermatomyositis
MRCP revision battle 23.4: Trichomonas vaginalis
MRCP revision battle 23.5: Atrial septal defects
MRCP revision battle 23.6: Pyoderma gangrenosum



MRCP revision battle 23.1: Henoch Schonlein purpura


Henoch Schonlein Purpura (HSP) is a an IgA mediated small vessel vasculitis.

Classically it affects mainly children post infection.


Features include:
  • symmetrical macular rash over buttocks and extensor surfaces of legs
  • abdominal pain +/- blood diarrhoea
  • arthralgia

Complications of HSP include:
  • renal failure (look for microhaematuria)
  • intussusception

Management is supportive.


Now for a very quick battle, Parinaud's Syndrome...