HENOCH-SCHÖNLEIN PURPURA IN ADULTS(a clinical case and a review)
Hemorrhagic vasculitis (Henoch-Schönlein purpura) is a disease rarely seen in adults. Aim. Overview clinical disease manifestations, pathophysiology and differential diagnosis of Henoch-Schönlein purpura and to demonstrate a clinical observation. Material and methods. A systematic search of the literature was performed in PubMed and Elibrary databases. A clinical case of a patient with systemic disease was reviewed. Results and its discussion. Henoch-Schönlein purpura is a small-vessel systemic vasculitis characterized by vascular immunoglobulin A deposits in the capillaries of the skin, joints, kidneys, and the gastrointestinal tract. In adults, Henoch-Schönlein purpura rarely occurs, with an incidence less than 2 per 100 thousand of the population; the prognosis of diseases is generally favorable. Patient X. , 32 years old, was admitted to the therapeutic department with a diagnosis of Wegener’s granulomatosis. Patient demonstrated a pattern of multisystemic disease. Due to lack of progressive renal damage, non-typical for Wegener’s changes in the lungs and overall successful course we carefully studied all data and reviewed the diagnosis. Conclusion. Diagnosis of systemic vasculitis without biopsy is possible but always difficult, our diagnosis was based on EULAR/PRINTO/PRES revised criteria.