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Common Childhood Vasculitis

  • Kalthoum Tlili-Graiess
  • Nadia Mama-Larbi
  • Sawsen Abroug
  • Lotfi Hendaoui
Chapter
Part of the Medical Radiology book series (MEDRAD)

Abstract

Henoch-Schönlein purpura (HSP) and Kawasaki disease (KD) are the commonest vasculitis in childhood, followed by Takayasu arteritis (TA), and childhood Polyarteritis nodosa (PAN). Duplex ultrasonography (US), Magnetic Resonance Imaging (MRI), Magnetic Resonance Angiography (MRA), Computed Tomography (CT) and CT Angiography (CTA), are safer alternatives than conventional angiography. HSP and KD are self-limited with generally a favorable outcome in children. In HSP US detects, with high sensitivity, bowel abnormalities in children and their complications with intussusception as the most frequent abdominal complication. Coronary artery aneurysms are the hallmark of KD. Though conventional coronary angiography remains the gold standard diagnostic modality, Doppler color echocardiography allows non-invasively the detection and the monitoring of coronary artery lesions. PAN involves both visceral and cutaneous arteries but one third of children identified as having PAN were categorized as cutaneous polyarteritis nodosa, a condition localized to the skin. The most frequent pattern of childhood TA is an extensive vascular involvement on both sides of the diaphragm. Magnetic Resonance Angiography emerges as a safe alternative both in diagnosis and monitoring.

Keywords

Systemic Lupus Erythematosus Magnetic Resonance Angiography Kawasaki Disease Familial Mediterranean Fever Takayasu Arteritis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Velag Berlin Heidelberg 2011

Authors and Affiliations

  • Kalthoum Tlili-Graiess
    • 1
  • Nadia Mama-Larbi
    • 1
  • Sawsen Abroug
    • 2
  • Lotfi Hendaoui
    • 3
  1. 1.Department of Medical Imaging, Medical School of SousseSahloul University HospitalSousseTunisia
  2. 2.Department of Pediatrics, Medical School of SousseSahloul University HospitalSousseTunusia
  3. 3.Department of Medical Imaging and Imaging Guided Interventions, Medical School of TunisMongi Slim University HospitalSidi DaoudTunisia

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