English

dc.contributor.authorSozeri, B
dc.contributor.authorMir, S
dc.contributor.authorErtan, P
dc.contributor.authorKara, OD
dc.contributor.authorSen, S
dc.date.accessioned2024-07-18T11:57:41Z
dc.date.available2024-07-18T11:57:41Z
dc.description.abstractBMC
dc.identifier.issn1546-0096
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/7094
dc.language.isoArticle
dc.subjectHenoch-Schonlein Vasculitis (HSV) is systemic small vessel vasculitis involving the skin, kidney, joints, and gastrointestinal tract. The proportion of patients reported to have renal involvement varies between 20% and 80%. Rapidly progressive glomerulonephritis (RPGN)is rare syndrome in children, characterized by clinical features of glomerulonephritis (GN) and rapid loss of renal function. We present a severe kidney involvement in a 14 year old boy with HSV in who is carring MEFV mutation. A 14 year old boy had developed sudden onset of palpable purpuric rash on his extensor surfaces of lower extremities. He had elevated an erythrocyte sedimentation rate (ESR) (45 mm/h), C-reactive protein (3.74 mg/dl), serum urea 66 mg/dl, serum creatinine 1.8 mg/dl. Also, he had hypocomplementemia. Antinuclear antibody, anti ds DNA, antineutrophil cytoplasmic antibody, anticardiolipine antibodies were negative. Urinalysis revealed macroscopic hematuria and proteinuria with a 24-h urinary protein excretion of 55 mg/m2/h. The renal biopsy specimen showed crescentic and necrotizing glomerulonephritis. He had also M694V/E148Q compound heterozygote mutation. Clinical symptoms and renal failure resolved with intermittant hemodialysis and medical therapy.
dc.titleEnglish
dc.typePURPURA
dc.typeNEPHRITIS
dc.typeINVOLVEMENT
dc.typeMUTATIONS
dc.typePATIENT
dc.typeRISK

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