ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG BỆNH SCHÖNLEIN - HENOCH Ở TRẺ EM TẠI BỆNH VIỆN NHI THÁI BÌNH

Abstract

Schönlein – Henoch purpura (HSP) is a common systemic vasculitis in children, however, clinical diagnosis is mainly based on exclusion diagnosis. The study was conducted to describe the clinical and paraclinical characteristics of Schönlein - Henoch in children at Thai Binh Children's Hospital. Methods: Study of a series of cases on 79 children diagnosed and treated for Schönlein - Henoch at the Thai Binh Children's Hospital from May 2024 to April 2025. Results: Patients with HSP aged between 5-10 years old accounted for the highest rate of 55.7%. All patients had hemorrhagic rash on the skin, followed by symptoms in the digestive tract and joints at 40.5%. The symptoms in kidney accounted for 6.3%. The main type of skin rash was subcutaneous hemorrhage in the form of spots on the calves and thighs. In the digestive form, abdominal pain was a common symptom; Ankle and knee pain were common symptoms in patients with articular pattern; hematuria was a main symptom in patients with renal partern. Blood count; blood and urine biochemistry of HSP were maintly in the normal ranges according to their age. Conclusion: HSP is common in children aged between 5-10 years old, the disease affects to many organs, mainly the skin, digestive system, joints, and kidney.