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Aging Clin Exp Res. 2012 Oct;24(5):559-60. doi: 10.3275/8476. Epub 2012 Jun 25.

A case of Henoch-Schönlein purpura in the elderly: not just a 'second childhood'.

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1
Department of Clinical Medicine and Rheumatology, Campus Bio-Medico University, Rome, Italy. soriano.alessandra@gmail.com

Abstract

Henoch-Schönlein Purpura (HSP) is a small vessel-vasculitis that usually affects children and adolescents; its onset in adults is uncommon.We describe a case of HSP complicated with nephritis and extensive deep vein thrombosis in an 81-year-old Caucasian woman, successfully treated with oral corticosteroids. Even at the extremes of age, HSP should be considered in the differential diagnosis of leukocytoclastic vasculitis, with a particular attention to renal involvement, because of its potential morbidity and mortality in the elderly; in addition, ruling out an occult thrombotic event in course of HSP is mandatory, especially in the presence of additional thrombotic risk factors.

PMID:
22732439
DOI:
10.3275/8476
[Indexed for MEDLINE]
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