Skip to main content Accessibility help
×
Hostname: page-component-78c5997874-j824f Total loading time: 0 Render date: 2024-11-18T01:20:26.375Z Has data issue: false hasContentIssue false

Chapter 3.5 - Immunoglobulin A Vasculitis (Henoch–Schönlein Purpura)

from 3 - Hypercoagulable Causes of Stroke

Published online by Cambridge University Press:  06 October 2022

Anita Arsovska
Affiliation:
University of Ss Cyril and Methodius
Derya Uluduz
Affiliation:
Istanbul Üniversitesi
Get access

Summary

Immunoglobulin A (IgA) vasculitis, formerly called Henoch-Schönlein purpura is a nonthrombocytopenic, immune-mediated, leukocytoclastic, small vessel vasculitis. It is the most common form of systemic vasculitis in children. Adults are less frequently affected. Most studies show a male predominance. There is a seasonal pattern with rarest occurrence in summer, probably because of the association of IgA vasculitis with infections. Pathophysiologically, immune complex IgA deposition in vessel walls is leading to complement activation, which is causing vessel injury. Neurological manifestation is more frequent in other forms of vasculitis. But, neurological manifestation of IgA vasculitis is possible, but rare. They involve affection of the central and peripheral nervous system. Sokol et al. reported the case of a 15-year-old girl presenting with aphasia and right-sided weakness associated with lethargy. Diagnostic tests led to the diagnosis of IgA vasculitis with neurologic involvement

Type
Chapter
Information
Rare Causes of Stroke
A Handbook
, pp. 174 - 178
Publisher: Cambridge University Press
Print publication year: 2022

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Sokol, DK, McIntre, JA, Short, RA, et al. Henoch-Schonlein purpura and stroke: Antiphosphatidylethanolamine antibody in CSF and serum. Neurology. 2000;55: 1379.CrossRefGoogle ScholarPubMed
Garzoni, L, Vanoni, F, Rizzi, M, et al. Nervous system dysfunction in Henoch-Schonlein syndrome: Systematic review of the literature. Rheumatology. 2009;48: 524529.CrossRefGoogle ScholarPubMed
Oni, L, Sampath, S. Childhood IgA vasculitis (Henoch Schonlein Purpura): Advances and knowledge gaps. Front Pediatr. 2019;27(7): 257.CrossRefGoogle Scholar
González-Gay, MA, López-Mejías, R, Pina, T, et al. IgA vasculitis: Genetics and clinical and therapeutic management. Curr Rheumatol Rep. 2018;20: 24.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×