IgA Vasculitis

Garcia, Natalie; Jiminez, Victoria; Heudebert, Alonso

doi:10.1007/s11606-022-07745-5

Cited by 1 publication

(3 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

Section: Clinical Featuresmentioning

confidence: 99%

“…IgA vasculitis is the most common form of systemic vasculitis in children, with gastrointestinal involvement occurring in 51% to 74% of cases (3). Intussusception is the most common surgical complication, and its overall incidence rate is inconsistently reported (3). The intussusception of IgA vasculitis patients mostly occurs in the ileum, followed by the ileocolon, generally occurs at 6.2 years old, especially in preschool children.…”

Section: Clinical Featuresmentioning

confidence: 99%

“…Intussusception is among the most common serious complications, with an incidence rate of approximately .7%-13.6%. 3 It manifests clinically with abdominal pain, vomiting, hematemesis, or melena, and occasionally abdominal mass. It is believed that intestinal wall edema and intramural hemorrhage are more common in cases with gastrointestinal involvement.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Immunoglobulin A Vasculitis With Intussusception in Children

Liu,

Du,

Zhao

et al. 2024

The American Surgeon™

View full text Add to dashboard Cite

Background Immunoglobulin A (IgA) vasculitis with intussusception is acute and severe vasculitis combined with acute abdomen in children. The diagnosis of the disease depends on the results of imaging examinations, and its treatment mainly includes enema and surgery. The literature summarized the detailed diagnosis and treatment data in previous literature reports. Methods We described the clinical manifestations, ultrasonic features, and treatment of patients admitted to a single center and reviewed previous literature regarding cases with detailed clinical data in the PubMed database within the past 20 years. Results The review included 36 patients, including 22 boys and 14 girls. A total of 32 patients were diagnosed using ultrasound (88.9%). The main sites of intussusception were the ileum and ileocolon in 16 (44.4%) and 11 (30.6%) cases, respectively. Thirteen patients (36.1%) were treated with enema, with 6 responding to the treatment. 26 patients (72.2%) underwent surgical treatment. Patients with ileal intussusception were more likely to be treated with surgery than those with colonic intussusception ( P < .05). The single-center clinical data of 23 patients showed that there was no significant difference in laboratory test findings between patients with and without surgical treatment ( P > .05). Patients with long insertion lengths were more likely to require surgery and resection ( P < .05). Conclusions Ultrasonography is the first-line investigation for diagnosis. The main sites of intussusception were ileum and ileocolon. The length of intubation was related to surgery; treatment is according to the intussusception site. Air enema is not suitable for intussusception of the small intestine.

show abstract

Section: Clinical Featuresmentioning

confidence: 99%

Section: Clinical Featuresmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation