Can HSP cause bowel problems?

What is Henoch Schönlein purpura (HSP)? Henoch Schönlein purpura is a disease which causes inflammation (irritation and swelling) and damage to small blood vessels called ‘capillaries’ producing a characteristic skin rash. It can also affect the joints, bowel and the kidneys.

What is the most common primary symptom of schönlein Henoch purpura?

The inflammation causes blood vessels in the skin, intestines, kidneys, and joints to start leaking. The main symptom is a rash with numerous small bruises, which have a raised appearance, over the legs or buttocks. Although HSP can affect people at any age, most cases occur in children between the ages of 2 and 11.

What are the prodrome symptoms in patients with Henoch-Schönlein purpura?

Henoch-Schönlein purpura (IgA vasculitis) typically has a prodrome, that is, symptoms that appear before the characteristic rash….Symptoms of the prodrome include:

  • Headache.
  • Loss of appetite.
  • Fever.

Does HSP cause diarrhea?

Some people with HSP experience vomiting and diarrhea; others may have severe constipation and unusually dark stool (melena). Individuals with HSP typically develop small red or purple spots (petechiae) on the skin, especially on the legs.

What causes abdominal pain in HSP?

Abdominal symptoms in HSP are caused by haemorrhage and oedema within the bowel wall and mesentery. They occur in up to 56% of adults and are the presenting feature in 15%1. Pain is typically colicky and poorly localized, sometimes accompanied by vomiting and bloody diarrhoea.

Can HSP recur years later?

About one third of children diagnosed with Henoch-Schönlein purpura will develop recurrent symptoms of Henoch-Schönlein purpura, although most recurrent episodes are less severe than the initial episode. However, recurrent episodes of Henoch-Schönlein purpura can last up to a year after the initial diagnosis.

What immunological features are typical for Henoch-Schonlein purpura associated glomerulonephritis?

The dominant clinical features of IgAV include cutaneous purpura, arthritis, abdominal pain, and nephritis.

Can vasculitis cause abdominal pain?

Although vasculitis is frequently classified by the size of the vessels involved, the symptoms from either large-, medium-, or small-vessel vasculitis can overlap. As such, abdominal pain, nausea, vomiting, diarrhea, and/or gross or occult blood in the stool is common.

What is systemic vasculitis?

Systemic vasculitis is an inclusive term applied to a group of disorders that cause inflammation in blood vessel walls with resultant ischemic tissue damage.

How long does stomach pain last with HSP?

In a simple, first episode of HSP, symptoms should resolve within four weeks, with the rash being the last symptom to disappear. Joint pain usually stops after three days, and abdominal pain will usually stop after two days.