Risk Factors of Renal Damage in Children with Henoch-Schonlein Purpura / 实用儿科临床杂志

ABSTRACT

Objective To investigate the risk factors of renal damage in children with Henoch-Schonlein purpura(HSP).Methods Two hundred and ninety-two children with HSP admitted to the First Affiliated Hospital of Anhui Medical University from Jan.2007 to Mar.2008 were reviewed.According to the findings urinary examination,children were divided into non-renal damage group(183 cases)and renal damage group(109 cases).Clinical data(gender,age,predisposing factors,rash repeated frequency,system damage)and laboratory examination [blood WBC,PLT,IgA,fibrinogen(FIB),TT,ASO,C3,C4] of 2 groups were compared,and then multiple regression analysis were performed to evaluate the risk factors of renal damage in children with HSP.Results 1.Among them,37.33% cases had renal da-mage,and hematuria and proteinuria manifestations were common.2.Simple Logistic regression showed that age was at least 8 years old and the number of purpura relapses was at least 4 times,increased serum FIB levels had significant difference between the 2 groups(P=0.030,0.000 and 0.011,respectively).There was no significant difference between the 2 groups in other clinical data and laboratory examinations.3.Mutiple Logistic regression showed that when the number of purpura relapses was at least 4 times,increased serum FIB levels were the risk factors of the renal damage(P=0.000 and 0.029,respectively);while there was no significant difference for the children who were at least 8 years old between the 2 groups(P=0.175).Conclusion When the number of purpura relapses is at least 4 times,increased serum FIB levels are the risk factors of the renal damage in children with HSP.