Abstract
Although Henoch-Schönlein purpura (HSP) is a small-vessel vasculitis affecting multiple organ systems, muscle involvement has rarely been reported. This report describes muscle pain and weakness in a patient with HSP nephritis (HSPN). A 13-year-old boy suffered from purpura, abdominal pain, and symmetrical muscle pain and weakness of the extremities. He was diagnosed as having HSP with muscle involvement. His abdominal pain and muscle involvement improved 1 week after commencing oral prednisolone therapy. The patient subsequently developed biopsy proven HSPN. It should be noted that, although rare, muscle involvement might occur in HSP as in other systemic vasculitides. The precise pathogenic mechanism underlying its development is currently unclear.
References
Gairdner D (1948) The Schönlein-Henoch syndrome (anaphylactoid purpura). Q J Med 17:95–122
Robson WLM, Leung AKC (1994) Henoch-Schönlein purpura. Adv Pediatr 41:163–194
Szer IS (1994) Henoch-Schönlein purpura. Curr Opin Rheumatol 6:25–31
Allen DM, Diamond LK, Howell DA (1960) Anaphylactoid purpura in children (Schönlein-Henoch syndrome). Am J Dis Child 99:833–854
Meadow R (1979) Schönlein-Henoch syndrome. Arch Dis Child 54:822–824
Somekh E, Fried D, Hanukoglu A (1983) Muscle involvement in Schönlein-Henoch syndrome. Arch Dis Child 58:929–930
White RHR (1991) Henoch-Schönlein purpura. In: Churg A, Churg J (eds) Systemic vasculitides. Igaku-Shoin, New York, pp 203–217
Cuttica RJ (1997) Vasculitis in children: a diagnostic challenge. Curr Probl Pediatr 27:309–318
Jennette JC, Falk RJ (1997) Small-vessel vasculitis. N Engl J Med 337:1512–1523
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Watanabe, T., Abe, Y. Muscle involvement in a patient with Henoch-Schönlein purpura nephritis. Pediatr Nephrol 19, 227–228 (2004). https://doi.org/10.1007/s00467-003-1336-5
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00467-003-1336-5