40 -7 (81) 2025 - Avezova G.S. - DIAGNOSTIC CHALLENGES AND EVOLVING APPROACHES IN SCHÖNLEIN - HENOCH PURPURA AMONG CHILDREN

DIAGNOSTIC CHALLENGES AND EVOLVING APPROACHES IN SCHÖNLEIN - HENOCH PURPURA AMONG CHILDREN

Avezova G.S. - Tashkent State Medical University

Resume

Henoch-Schönlein Purpura (HSP), or IgA vasculitis, is the most prevalent small-vessel vasculitis in the pediatric population, with variable clinical manifestations including palpable purpura, arthralgia, abdominal pain, and renal involvement. Despite the widespread use of the EULAR/PRINTO/PRES criteria, current diagnostic strategies often fall short in atypical or renal-predominant cases. This review critically examines global diagnostic approaches, highlighting traditional clinical criteria, laboratory biomarkers, imaging modalities, and histopathological confirmation methods. Furthermore, it explores emerging tools such as urinary cytokines, immunogenetic markers, and machine learning-based diagnostic algorithms. By synthesizing findings from recent studies, this review emphasizes the need for standardized, evidence-based, and regionally adaptable diagnostic models to improve early detection and personalized care in children with HSP

Keywords: Henoch-Schönlein Purpura (HSP); IgA vasculitis; pediatric vasculitis; diagnosis; renal biopsy; biomarkers; IL-17; immunogenetics; EULAR/PRINTO/PRES criteria; nephritis; machine learning; urinary cytokines

First page

199

Last page

207

For citation:Avezova G.S. - DIAGNOSTIC CHALLENGES AND EVOLVING APPROACHES IN SCHÖNLEIN - HENOCH PURPURA AMONG CHILDREN//New Day in Medicine 7(81)2025 199-207 https://newdayworldmedicine.com/en/new_day_medicine/7-81-2025

List of References

  1. Боровик, Т. Э., Мартынова, Л. А. (2016). Пурпура Шенлейна–Геноха у детей: современные подходы к диагностике и терапии. Российский вестник перинатологии и педиатрии, 61(5), 45–50.
  2. Ермолина, Е. А., Семёнова, Т. Ф. (2018). Диагностические и прогностические критерии нефритов при пурпуре Шенлейна–Геноха у детей. Нефрология и диализ, 20(2), 103–109.
  3. Коротких, С. П., Киселева, И. В. (2020). Иммуногенетические особенности детей с пурпурой Шенлейна–Геноха. Аллергология и иммунология, 21(1), 42–48.
  4. Макарова, С. Г., Соловьева, А. А. (2015). Значение УЗИ в диагностике и мониторинге абдоминальной формы пурпуры Шенлейна–Геноха. Вопросы современной педиатрии, 14(3), 50–54.
  5. Ревенко, Г. Е., Кривченя, С. А. (2019). Особенности течения и исходы нефрита при IgA-васкулите у детей. Педиатрия. Журнал им. Г.Н. Сперанского, 98(6), 32–37.
  6. Calvo-Rio, V., et al. (2016). Histologic findings in renal biopsy in pediatric IgA vasculitis. Kidney International, 89(6), 1358–1365.
  7. Chen, O., et al. (2019). Role of abdominal ultrasound in early diagnosis of GI involvement in HSP. BMC Pediatrics, 19(1), 274.
  8. Cimaz, R., et al. (2018). Diagnostic accuracy of EULAR criteria in atypical cases of IgA vasculitis. Rheumatology, 57(2), 367–374.
  9. Dolezalova, P., et al. (2020). Vasculitis in childhood: diagnostic strategies and classification. Best Practice & Research Clinical Rheumatology, 34(3), 101514.
  10. Fukui, H., et al. (2019). Role of capsule endoscopy in evaluating GI bleeding in HSP. Journal of Pediatric Surgery, 54(7), 1425–1429.

    file

    download