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[Rheumatoid purpura and Berger's disease in the same patient. 2 cases]
J B Cotton1, B Parchoux, C Vincent
1Service de pédiatrie, centre hospitalier de Valence, France.
Pediatrie
|January 1, 1991
Summary
Henoch Schönlein purpura can progress to Berger disease years later. This suggests Berger disease may be a symptomatic manifestation of anaphylactoid purpura.
Area of Science:
- Nephrology
- Immunology
- Pediatrics
Background:
- Henoch Schönlein purpura (HSP) is a common childhood vasculitis.
- Berger disease (IgA nephropathy) is a primary glomerulonephritis.
Observation:
- Two patients initially presented with typical Henoch Schönlein purpura.
- These patients later developed symptoms consistent with Berger disease.
Findings:
- The study observed a temporal relationship between HSP and the subsequent development of Berger disease.
- Literature review indicates similar cases, supporting a connection between these conditions.
Implications:
- Berger disease might represent a symptomatic expression of anaphylactoid purpura.
- This finding could influence diagnostic and treatment approaches for patients with HSP.