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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1987-1-6
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pubmed:abstractText |
Fourty-four children with Henoch-Schoenlein nephritis were studied at the onset of the nephropathy and during a follow-up from 6 to 110 months. The extra-renal manifestations were purpura (100%), abdominal pain (63.5)% or melena (27%), arthlagias (61.5%), neurological symptoms with convulsions (4.5%) and retinal involvement (4.5%). The clinical presentation of the nephropathy consisted in haematuria and proteinuria (41%), isolated haematuria (30%), acute renal failure (ARF) (23%), nephrotic syndrome (4%) or isolated proteinuria (2%). Hypertension was present in 17 patients. Renal biopsy was performed in 18 patients and the glomerular changes were graded according to the classification of ISKDC; the renal histopathology ranged from minimal lesions to severe crescentic glomerulonephritis and was found to correlate with clinical state. Twenty-four patients, who showed severe clinical presentation and/or diffuse mesangial proliferation with high proportion of crescents, received a corticosteroid therapy. Most of our patients followed a relatively benign course: all but one of patients with ARF have normal renal function at the end of follow-up and no patients with less severe renal presentation got a bad outcome. Only 2 patients showed relapse of nephropathy and purpura at the 6th and 8th year of follow-up, respectively. After 24 months of follow-up the clinical outcome of a group of 19 patients receiving corticosteroid therapy was not very different from that of 11 untreated patients.
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pubmed:language |
ita
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0391-5387
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
8
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
317-20
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pubmed:dateRevised |
2010-11-18
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pubmed:meshHeading |
pubmed-meshheading:3786192-Acute Kidney Injury,
pubmed-meshheading:3786192-Adolescent,
pubmed-meshheading:3786192-Adrenal Cortex Hormones,
pubmed-meshheading:3786192-Child,
pubmed-meshheading:3786192-Child, Preschool,
pubmed-meshheading:3786192-Female,
pubmed-meshheading:3786192-Follow-Up Studies,
pubmed-meshheading:3786192-Glomerulonephritis,
pubmed-meshheading:3786192-Humans,
pubmed-meshheading:3786192-Kidney Glomerulus,
pubmed-meshheading:3786192-Male,
pubmed-meshheading:3786192-Prognosis,
pubmed-meshheading:3786192-Purpura, Schoenlein-Henoch
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pubmed:articleTitle |
[Clinical aspects of the nephropathy in Schoenlein-Henoch syndrome].
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pubmed:publicationType |
Journal Article,
English Abstract
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