Henoch–Schonlein purpura, post-streptococcal glomerulonephritis and acute rheumatic carditis after Group A β-haemolytic streptococcal infection

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dc.contributor.authorArslansoyu Çamlar S.
dc.contributor.authorSoylu A.
dc.contributor.authorAkil İ.
dc.contributor.authorÜnlü M.
dc.contributor.authorCoşkun Ş.
dc.contributor.authorErtan P.
dc.contributor.authorKavukçu S.
dc.date.accessioned2024-07-22T08:09:58Z
dc.date.available2024-07-22T08:09:58Z
dc.date.issued2018
dc.description.abstractBesides association with acute rheumatic fever (ARF) and acute glomerulonephritis (APSGN), in up to 40% of cases, Group A β-haemolytic streptococcal (GABHS) infections are also implicated as a trigger for Henoch–Schonlein purpura (HSP). A 7-year-old girl with GABHS throat infection who developed HSP, APSGN and rheumatic carditis is reported. She presented with palpable purpura and arthritis in both ankles and later developed carditis characterised by mitral/aortic regurgitation and glomerulonephritis characterised by mixed nephritic/nephrotic syndrome. She had a raised anti-streptolysin titre (ASOT), blood urea nitrogen and creatinine and hypocomplementaemia (C3), and renal biopsy demonstrated endocapillary and extracapillary proliferative glomerulonephritis with crescents. Immunofluorescence microscopy demonstrated a ‘full house’ of immunoglobulin and complement, viz. IgA + 2, IgG + 3, IgM + 2, C3c + 1, Clq + 2 with predominantly IgG deposition. One week earlier, her 4-year-old sister had presented to another hospital with HSP complicated by microscopic haematuria, nephrotic-range proteinuria and gastro-intestinal involvement, and with raised ASOT and low C3 levels. Although HSP has been associated with either ARF or APSGN, this is the first case of a child with HSP, ARF and APSGN in combination. © 2017 Informa UK Limited, trading as Taylor & Francis Group.
dc.identifier.DOI-ID10.1080/20469047.2017.1284394
dc.identifier.issn20469047
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/15028
dc.language.isoEnglish
dc.publisherTaylor and Francis Ltd.
dc.subjectAntistreptolysin
dc.subjectBiopsy
dc.subjectChild
dc.subjectComplement System Proteins
dc.subjectCreatinine
dc.subjectFemale
dc.subjectGlomerulonephritis
dc.subjectHistocytochemistry
dc.subjectHumans
dc.subjectImmunohistochemistry
dc.subjectKidney
dc.subjectMicroscopy
dc.subjectMicroscopy, Fluorescence
dc.subjectPurpura, Schoenlein-Henoch
dc.subjectRheumatic Heart Disease
dc.subjectStreptococcal Infections
dc.subjectUrea
dc.subjectacetylsalicylic acid
dc.subjectalbumin
dc.subjectantistreptolysin
dc.subjectC reactive protein
dc.subjectcomplement component C1q
dc.subjectcomplement component C3
dc.subjectcomplement component C3c
dc.subjectcomplement component C4
dc.subjectcreatinine
dc.subjectenalapril
dc.subjectfurosemide
dc.subjecthemoglobin
dc.subjectimmunoglobulin A
dc.subjectimmunoglobulin G
dc.subjectimmunoglobulin M
dc.subjectmethylprednisolone
dc.subjectpenicillin derivative
dc.subjectprednisolone
dc.subjectantistreptolysin
dc.subjectcomplement
dc.subjectcreatinine
dc.subjecturea
dc.subjectacute rheumatic carditis
dc.subjectallergic glomerulonephritis
dc.subjectanaphylactoid purpura
dc.subjectaortic regurgitation
dc.subjectArticle
dc.subjectascites
dc.subjectbacterium culture
dc.subjectblood culture
dc.subjectbody temperature
dc.subjectcarditis
dc.subjectcase report
dc.subjectcentral venous pressure
dc.subjectchild
dc.subjectclinical article
dc.subjectdiastolic heart murmur
dc.subjectdisease association
dc.subjectdisease severity
dc.subjectechocardiography
dc.subjectedema
dc.subjecterythrocyte sedimentation rate
dc.subjectfemale
dc.subjectgroup A streptococcal infection
dc.subjecthematuria
dc.subjecthuman
dc.subjecthypertension
dc.subjectimmunofluorescence microscopy
dc.subjectkidney biopsy
dc.subjectleukocyte count
dc.subjectlung auscultation
dc.subjectmitral valve regurgitation
dc.subjectoccult blood
dc.subjectonset age
dc.subjectpercussion
dc.subjectplatelet count
dc.subjectpleura effusion
dc.subjectproliferative glomerulonephritis
dc.subjectprotein urine level
dc.subjectproteinuria
dc.subjectpulse rate
dc.subjectpurpuric rash
dc.subjectschool child
dc.subjectsymptom
dc.subjectsystolic heart murmur
dc.subjecttachypnea
dc.subjectthorax radiography
dc.subjecturea nitrogen blood level
dc.subjecturine sediment
dc.subjectanaphylactoid purpura
dc.subjectbiopsy
dc.subjectblood
dc.subjectcomplication
dc.subjectcytochemistry
dc.subjectfluorescence microscopy
dc.subjectglomerulonephritis
dc.subjectimmunohistochemistry
dc.subjectkidney
dc.subjectmicroscopy
dc.subjectpathology
dc.subjectrheumatic heart disease
dc.subjectStreptococcus infection
dc.titleHenoch–Schonlein purpura, post-streptococcal glomerulonephritis and acute rheumatic carditis after Group A β-haemolytic streptococcal infection
dc.typeArticle

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