“…Our data, together with other studies, demonstrates an overall low risk of HSP associated nephritis in an unselected cohort of patients presenting with features of HSP, 91% had a self-limiting disease course in our series. There have now been several cohorts describing this, together with the finding that patients with HSP who present with or develop proteinuria are at the greatest risk of renal complications [2], [3], [4], [9], [10], [11], [12], [13], [14], [15], [16], [17], [18]. A stratified approach to monitoring which is robust enough to allow early identification of the high-risk patients balanced against the inconvenience to the family, resource implications and burden to healthcare providers of prolonged or costly follow up therefore seems appropriate.…”