Henoch–Schönlein Purpura During Pregnancy: A Case Report

Abstract

A 25-year-old primiparous woman in the fourth gestational week with palpable purpuras on both legs and bipedal edema was admitted to the hospital. She had a history of Henoch–Schönlein purpura HSP that was diagnosed at the age of 12 years. Her brother had also received the same diagnosis. The patient did not necessitate active intervention during pregnancy. In addition, we did not observe severe obstetrical complications. We believe that patients with HSP undergoing careful follow-up pregestational and gestational may deliver successfully.

Keywords

• Henoch-Schönlein purpura,pregnancy,vasculitis

Gebelik Sırasında Henoch-Schönlein Purpurası: Olgu Sunumu

Abstract

Yirmi beş yaşında bir hasta, her iki bacakta palpe edilebilen purpura ve bipedal ödem şikayetleri ile dördücü gestasyonel haftada hastaneye başvurdu. Hastanın 12 yaşında tanısı konulmuş olan Henoch-Schönlein purpura HSP hikayesi mevcuttu. Erkek kardeşine de aynı hastalık için tanı konulmuştu. Hastaya gebeliği süresince aktif müdahalede bulunulması gerekmedi. Ayrıca ciddi bir obstetrik komplikasyon da gözlenmedi. Dikkatli şekilde takip edilen HSP tanılı gebelerin başarı ile doğurtulabileceğine inanıyoruz.

Keywords

• Henoch-Schönlein purpurası,gebelik,vaskülit

References

1. Jennette JC, Falk R, Bacon P, Basu N, Cid M, Ferrario F, et al. 2012 Re- vised International Chapel Hill Consensus Conference Nomenclature of Vasculitides. Arthritis & Rheumatology. 2013;65(1):1-11.
2. Gardner-Medwin JM, Dolezalova P, Cummins C, Southwood TR. Incidence of Henoch–Schonlein purpura, Kawasaki disease, and rare vasculitides in children of different ethnic origins. The Lancet. 2002;360(9341):1197- 202.
3. Blanco R, Martínez‐Taboada VM, Rodríguez‐Valverde V, García‐Fuen- tes M, Gonzalez‐Gay MA. Henoch‐Schönlein purpura in adulthood and childhood. Two different expressions of the same syndrome. Arthritis & Rheumatology. 1997;40(5):859-64.
4. Arend WP, Michel BA, Bloch DA, Hunder GG, Calabrese LH, Edworthy SM, et al. The American College of Rheumatology 1990 criteria for the classifi- cation of Takayasu arteritis. Arthritis & Rheumatology. 1990;33(8):1129- 34.
5. Ozen S, Pistorio A, Iusan SM, Bakkaloglu A, Herlin T, Brik R, et al. EULAR/ PRINTO/PRES criteria for Henoch–Schönlein purpura, childhood polyar- teritis nodosa, childhood Wegener granulomatosis and childhood Takaya- su arteritis: Ankara 2008. Part II: final classification criteria. Annals of the Rheumatic Diseases. 2010;69(5):798-806.
6. Jennette JC, Falk RJ. Small-vessel vasculitis. New England Journal of Medicine. 1997;337(21):1512-23.
7. Yang Y-H, Yu H-H, Chiang B-L. The diagnosis and classification of He- noch–Schönlein purpura: an updated review. Autoimmunity Reviews. 2014;13(4):355-8.
8. Kang Y, Park J-S, Ha Y-J, Kang M-I, Park H-J, Lee S-W, et al. Differences in clinical manifestations and outcomes between adult and child patients with Henoch–Schönlein purpura. Journal of Korean Medical Science. 2014;29(2):198-203.

9. Audemard‐Verger A, Terrier B, Dechartres A, Chanal J, Amoura Z, Le Gouellec N, et al. Characteristics and management of IgA vasculitis (He- noch–Schönlein purpura) in adults: data from the 260 patients included in the IGAVAS survey. Arthritis & Rheumatology. 2017.
10. Tayabali S, Andersen K, Yoong W. Diagnosis and management of Heno- ch–Schönlein purpura in pregnancy: a review of the literature. Archives of Gynecology and Obstetrics. 2012;286(4):825-9.
11. Kalmantis K, Daskalakis G, Iavazzo C, Vranos A, Mesogitis S, Antsaklis A. Henoch–Schonlein purpura in pregnancy. Journal of Obstetrics and Gynaecology. 2008;28(4):403-5.
12. Chakrabarti SB, Tigga MP, Ray J, Debbarma A. Henoch–Schonle- in purpura in pregnancy: a lesser known phenomenon. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2017;4(4):1227-30.