Dylewska Magdalena, Wieliczko Monika
Katedra i Klinika Nefrologii, Dializoterapii i Chorób Wewnętrznych WUM, Warszawa, Polska,
Katedra i Klinika Nefrologii, Dializoterapii i Chorób Wewnętrznych WUM, Warszawa, Polska.
Wiad Lek. 2016;69(5):711-713.
IgA vasculitis (Schönlein-Henoch purpura) is a systemic inflammation of the small vessels associated with the deposition of IgA antibodies in the vascular wall. Typical clinical symptoms are: skin lesions (purpura), joint pain, abdominal discomfort and renal disorder (most common haematuria/proteinuria). The disease affects usually the pediatric population; in those patients its course is benign and usually not associated with permanent complications. However, adults often present severe symptoms of organ damage, and the risk of complications, especially chronic renal failure is high. The diagnosis is based on clinical signs and skin biopsy. In mild cases the treatment is symptomatic. In cases with severe clinical symptoms corticosteroids are the basis of the therapy.
IgA 血管炎(过敏性紫癜)是一种小血管的系统性炎症,与 IgA 抗体在血管壁沉积有关。典型的临床症状包括:皮肤病变(紫癜)、关节疼痛、腹部不适和肾脏疾病(最常见的是血尿/蛋白尿)。该疾病通常影响儿童群体;在这些患者中,其病程是良性的,通常不会伴有永久性并发症。然而,成人常出现严重的器官损害症状,并发症风险,尤其是慢性肾衰竭的风险很高。诊断基于临床体征和皮肤活检。轻度病例采用对症治疗。临床症状严重的病例,糖皮质激素是治疗的基础。