Henoch-Schonlein purpura presenting duodenal involvement similar to superior mesenteric artery syndrome in a girl

Abstract

Henoch-Schonlein purpura (HSP) is an inflammatory vasculitis involving the skin, joints, gastrointestinal (GI) tract, and kidneys. This is the first case report describing a 5-year-old girl with HSP presenting duodenal involvement which might be associated with superior mesenteric artery syndrome (SMAS).

Unexpected superimposition of nutcracker effect in various conditions: is it an unrecognized confounding factor?

“…We read with great interest the recent contribution by Harada et al in Eur J Pediatr [1]. They reported a 5-year old girl with Henoch-Schonlein purpura (HSP) presenting duodenal involvement which might be associated with superior mesenteric artery syndrome (SMAS).…”

Superior mesenteric artery syndrome: Risk factor for duodenal involvement in Henoch–Schönlein purpura

“…1a). 9 The exclusion criteria were: past history of HSP, and past history of abdominal surgery. For controls, we prospectively recruited consecutive children who presented to the department and who underwent screening on abdominal ultrasound due to hematuria and/or proteinuria on urinalysis.…”

Coexisting nutcracker phenomenon and superior mesenteric artery syndrome in a patient with IgA nephropathy

“…Some researchers have proposed that nutcracker should be defined only when the clinical symptoms are present along with compatible radiologic findings, [4] because asymptomatic dilatation of LRV frequently shown on ultrasound or computed tomography has been regarded as a finding of a normal variant [5] . However, LRV entrapment has been reported to coexist with some idiopathic glomerular disease in some case reports, among which coexistence with IgAN were the most commonly reported ones [6–11] . The combination increases the difficulty of differentiating the primary cause of renal manifestations and influences the choice of therapy.…”