Total Bilateral Ureteral Replacement for Stenosing Ureteritis in Henoch&amp;ndash;Sch&amp;ouml;nlein Purpura

Pfister, Christian; Liard-Zmuda, A.; Dacher, Jean‐Nicolas; Dubois, D.; Grise, P.; Mitrofanoff, P

doi:10.1159/000020259

Cited by 17 publications

(18 citation statements)

References 7 publications

(3 reference statements)

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“…One child with a delayed diagnosis underwent nephrectomy [4]. Another child who underwent bilateral total ureteral replacement [11] eventually developed end-stage renal disease [10]. In our case, the combination of severe obstruction and delayed diagnosis may have resulted in a nonfunctional kidney.…”

Section: Cs Remissionmentioning

confidence: 79%

“…In an extensive review of the literature, both in English and other languages, 20 previously reported cases in children were found. Of these, 11 have been reported in the English literature [2][3][4][5][6][7][8][9][10]. The paper presented here is the first extensive review of HSP-associated ureteritis.…”

Section: Cs Remissionmentioning

confidence: 99%

“…Involvement of the lower urinary tract seems unusual, and only few cases of HSP-associated stenosing ureteritis, typically presenting with severe manifestations, have been reported in the English literature [2][3][4][5][6][7][8][9][10]. However, the true incidence and spectrum of this complication remains unknown, as some cases were diagnosed incidentally [7,9,[11][12][13][14].…”

Section: Introductionmentioning

confidence: 99%

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Masked severe stenosing ureteritis: a rare complication of Henoch-Schönlein purpura

et al. 2008

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Henoch-Schönlein purpura (HSP)-associated stenosing ureteritis represents a rare complication of the disease, typically presenting with severe manifestations. This article reports on a 3.5-year-old boy with HSP and severe nephritis who developed a unilateral stenosing ureteritis with atypical manifestations, resulting in a nonfunctional kidney and consequent nephrectomy. The urinary tract ultrasound was normal in the first week of illness, and the diagnosis was made during follow-up 8 months after onset. The predominance of nephritic manifestations may have masked any signs of ureteritis, leading to the delay in diagnosis. To clarify the clinical spectrum of this complication, an extensive review of the literature was performed. We emphasize the necessity of repeated urinary tract ultrasound both early and later in the course of HSP, especially in cases with renal involvement, so that an early diagnosis of this complication can prevent a potentially serious renal outcome.

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Section: Cs Remissionmentioning

confidence: 79%

Section: Cs Remissionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Masked severe stenosing ureteritis: a rare complication of Henoch-Schönlein purpura

et al. 2008

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“…3 Ureteral stenosis has been reported in other forms of small-vessel vasculitis such as Wegener's granulomatosis, 4-6 polyarteritis nodosa, 7,8 and Schönlein-Henoch purpura. 9 It is thus reasonable to consider that abdominal vasculopathy in juvenile dermatomyositis leads to ureteral stenosis as in other forms of vasculitis.…”

Section: Discussionmentioning

confidence: 99%

Bilateral ureteral stenosis and duodenal perforation in a patient with dermatomyositis

et al. 2007

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We report the case of a 19-year-old man with dermatomyositis who developed abdominal pain and anuria. The examination revealed bilateral ureteral stenosis. The patient also developed multiple ulcerations of the duodenum with perforations. The clinical feature was considered to represent that of juvenile dermatomyositis, which is characterized by systemic necrotizing vasculitis. Rheumatologists should be alerted about this serious complication in patients with childhood or young adult dermatomyositis presenting with abdominal complaints.

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“…Ureteritis is rare in patients with HSP; only about a dozen patients have been reported in the literature [38]. One report noted 1 case (0.7%) in 139 patients with HSP [39].…”

Section: Stenosing Ureteritismentioning

confidence: 99%

Surgical management of nonrenal genitourinary manifestations in children with Henoch-Schönlein purpura

Søreide

2005

Journal of Pediatric Surgery

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Total Bilateral Ureteral Replacement for Stenosing Ureteritis in Henoch–Schönlein Purpura

Cited by 17 publications

References 7 publications

Masked severe stenosing ureteritis: a rare complication of Henoch-Schönlein purpura

Masked severe stenosing ureteritis: a rare complication of Henoch-Schönlein purpura

Bilateral ureteral stenosis and duodenal perforation in a patient with dermatomyositis

Surgical management of nonrenal genitourinary manifestations in children with Henoch-Schönlein purpura

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