Clinical and laboratory findings in henoch schoenlein purpura

Henoch-Schoenlein purpura [HSP] is the most common vasculitis in children. It is characterized by purpura, arthritis, gasterointestinal involvment and glumerulonephritis. There is a male to female predominance. It is estimated that some infections such as BHGAS can predispose to HSP. In a retrospective study we evaluated clinical and laboratory findings in patients with HSP diagnosis admitted to Ghaem and Imam Raza hospitals in Mashad, It is known that skin, joint and gastrointestinal involvement is the most common presentation of disease. In our patients, kidney disorders were not detected. Hyperleukocytosis, positive CRP, elevated ESR and ASO titers were frequently observed laboratory signs in these patients In this study HSP had a good prognosis and we didn't any kidney complication in our subjects.

Etiology and symptoms of pediatric admission in the emergency and pediatric wards in Qa'em Hospital in Mashad, Iran in 1382-83 [2003-4]

Background and Purpose: Etiology of pediatric admission is changing. In this study the most common causes of children's admission and duration of hospitalization were reviewed. In regard to complications of disorders, the_results of this study will promote managing and facilities in pediatric ward

Methods and materials: Pediatric patients admitted to Qa'em Hospital in Mashad, Iran in one year were studied. After filling out the questionnaires using the patient's records, relevant data were analyzed in SPSS and Excel using chi-sequence and t-test.

Results: Among 800 admitted fever in 57.8%, convulsion in 41%, cough in 20.9% and dyspnea in 7.3% of cases were chief complains. The most common diagnosis included febrile convulsion [41.4%], pneumonia [13.4%], bronchiolitis [8.6%] and asthma [5%]

Conclusion: The prevalence of pneumonia, acute bronchiolitis and febrile convulsion were more common than world's statistics. But asthma is lower than other regions. Therefore, attention to infections disease and respiratory system disease in particular is necessary

[Acute otitis media in children with febrile convulsion]

Objective: the aim of this study was prevalence of acute otitis media in children [6mo.-6yr.] with febrile convulsion admitted to the Pediatric Ward of Hospital, 2001-2002 [Khordad 1380- 81]

Method: fifty children [6mo.-6yr.] with febrile convulsion were admitted to the Pediatric Ward of Ghaem Hospital between the 15'h of Khordad 1380 to the 15th Khordad 1381. All of them were examined within the first six hours of admission. A questionnaire was filled for each child

Results: the patients' mean age was 27.59 months [range 6.5mo.-5yr.] 35 patients were male, and 15 were female. Fifty-four percent of all patients had simple and 46% had complex febrile convulsions. The most common disease was acute otitis media [36%], followed by upper respiratory tract infections [34%], and gastroenteritis [30%]. Association of acute otitis media with febrile convulsion in males was more in females [88.9% vs 11.1%, P = 0.029] There was not significant statistical relation between acute otitis media and febrile type convulsions [simple-complex] [P= 0.87]