Clinical features, treatment and outcome of pediatric patients with severe cutaneous manifestations in IgA vasculitis: Multicenter international study.


Journal

Seminars in arthritis and rheumatism
ISSN: 1532-866X
Titre abrégé: Semin Arthritis Rheum
Pays: United States
ID NLM: 1306053

Informations de publication

Date de publication:
Aug 2023
Historique:
received: 03 11 2022
revised: 14 04 2023
accepted: 19 04 2023
medline: 10 7 2023
pubmed: 2 5 2023
entrez: 1 5 2023
Statut: ppublish

Résumé

IgA vasculitis (IgAV) (formerly Henoch-Schönlein Purpura, HSP) rarely causes severe skin lesions in children. The purpose of the research was to determine whether severe skin manifestations were associated with a more severe disease course. Severe cutaneous manifestations were defined as presence of hemorrhagic vesicles, bullae, ulcerations and/or necroses. Data were collected retrospectively from 12 international tertiary university medical centers. A total of 64 patients with the most severe skin changes in IgAV/HSP and median (Q Patients with IgAV/HSP and severe skin manifestations had a more severe clinical course and more frequently required glucocorticoids compared to classic IgAV/HSP patients.

Identifiants

pubmed: 37126983
pii: S0049-0172(23)00051-3
doi: 10.1016/j.semarthrit.2023.152209
pii:
doi:

Substances chimiques

Glucocorticoids 0
Immunoglobulin A 0

Types de publication

Multicenter Study Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

152209

Informations de copyright

Copyright © 2023. Published by Elsevier Inc.

Déclaration de conflit d'intérêts

Declaration of Competing Interest The authors declare no conflicts of interest.

Auteurs

Mario Sestan (M)

Department of Paediatrics, University of Zagreb School of Medicine, University Hospital Centre Zagreb, Zagreb, Croatia.

Nastasia Kifer (N)

Department of Paediatrics, University of Zagreb School of Medicine, University Hospital Centre Zagreb, Zagreb, Croatia.

Betul Sozeri (B)

University of Health Sciences, Umraniye Training and Research Hospital, Istanbul, Turkey.

Ferhat Demir (F)

University of Health Sciences, Umraniye Training and Research Hospital, Istanbul, Turkey.

Kadir Ulu (K)

University of Health Sciences, Umraniye Training and Research Hospital, Istanbul, Turkey.

Clovis A Silva (CA)

Pediatric Rheumatology Unit, ICr-HC-FMUSP, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.

Reinan T Campos (RT)

Pediatric Rheumatology Unit, ICr-HC-FMUSP, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.

Ezgi Deniz Batu (ED)

Department of Pediatrics, Hacettepe University, Ankara, Turkey.

Oya Koker (O)

Department of Pediatric Rheumatology, Marmara University-Pendik Training and Research Hospital, Istanbul, Turkey.

Matej Sapina (M)

Department of Paediatrics, Josip Juraj Strossmayer University of Osijek, Medical Faculty and Faculty of Dental Medicine and Health Osijek, University Hospital Centre Osijek, Osijek, Croatia.

Sasa Srsen (S)

Department of Paediatrics, University of Split School of Medicine, University Hospital Centre Split, Split, Croatia.

Martina Held (M)

Department of Paediatrics, University of Zagreb School of Medicine, University Hospital Centre Zagreb, Zagreb, Croatia.

Alenka Gagro (A)

Department of Paediatrics, Children's Hospital Zagreb, University of Zagreb School of Medicine, Zagreb, Croatia; Josip Juraj Strossmayer University of Osijek, Medical Faculty Osijek, Osijek, Croatia.

Adriana Rodrigues Fonseca (AR)

Universidade Federal do Rio de Janeiro, Instituto de Puericultura e Pediatria Martagão Gesteira, Rio de Janeiro, Brazil.

Marta Rodrigues (M)

Universidade Federal do Rio de Janeiro, Instituto de Puericultura e Pediatria Martagão Gesteira, Rio de Janeiro, Brazil.

Donato Rigante (D)

Department of Life Sciences and Public Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica Sacro Cuore, Rome, Italy.

Giovanni Filocamo (G)

Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.

Francesco Baldo (F)

Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.

Merav Heshin-Bekenstein (M)

Pediatric Rheumatology Service, Dana Dwek Children's Hospital, Tel Aviv Medical Center, Tel Aviv University, Tel Aviv, Israel.

Teresa Giani (T)

AOU Meyer, Florence, Italy.

Janne Kataja (J)

Department of Paediatrics and Adolescents Medicine, Turku University Hospital, Turku, Finland.

Marijan Frkovic (M)

Department of Paediatrics, University of Zagreb School of Medicine, University Hospital Centre Zagreb, Zagreb, Croatia.

Nicolino Ruperto (N)

IRCCS Istituto Giannina Gaslini, UOSID centro trial, Genoa, Italy.

Seza Ozen (S)

Department of Pediatrics, Hacettepe University, Ankara, Turkey.

Marija Jelusic (M)

Department of Paediatrics, University of Zagreb School of Medicine, University Hospital Centre Zagreb, Zagreb, Croatia. Electronic address: marija.jelusic@mef.hr.

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Classifications MeSH