J Med Assoc Thai 1997; 80 (11):686

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Henoch-Schonlein Purpura in Thailand: Review of 41 Children
Wananukul S Mail, Watana D , Pongprasit P

The clinical features of 41 Thai children with Henoch-Schonlein purpura were presented,
with particular emphasis on the cutaneous features and date of onset. There were 20 boys and 21
girls, ages ranged from 2 to 15 years. All patients had palpable purpura on the lower limbs. Palpable
purpura were also present on forearms and pinna in 25 (61%) and 5 (12%) respectively. Scalp
edema was found in five patients. Hemorrhagic vesicles and bullae were found in only one
patient. Twenty six patients (63%) had skin lesions as the first sign. Thirty four patients (83%) had
skin lesions in the first four days of the clinical course. Other dominant features included were
abdominal pain, arthralgia and nephritis 73, 66 and 39 per cent respectively. The pertinent literature
is reviewed.

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