临床儿科杂志 ›› 2024, Vol. 42 ›› Issue (8): 737-740.doi: 10.12372/jcp.2024.23e0251

• 文献综述 • 上一篇    下一篇

儿童IgA血管炎临床研究进展

柴亚惠, 杨达胜, 张贺 综述, 毕凌云 审校   

  1. 新乡医学院第一附属医院(河南卫辉 453100)
  • 收稿日期:2023-03-28 出版日期:2024-08-15 发布日期:2024-08-06

Progress of Clinical Research on IgA Vasculitis in Children

Reviewer:CHAI Yahui, YANG Dasheng, ZHANG He, Reviser: BI Lingyun   

  1. The First Affiliated Hospital of Xinxiang Medical University, Weihui 453100, Heinan, China
  • Received:2023-03-28 Online:2024-08-15 Published:2024-08-06

摘要:

IgA血管炎(IgAV)是一种由IgA沉积在小血管引起的自身免疫性疾病,除了非血小板减少性紫癜表现,还有胃肠道、关节及肾脏受累。该病具有自限性,少数累及肾脏者,可在晚年发展为终末期肾脏疾病。文章对儿童IgAV临床特征及累及肾脏的相关机制进行综述,并探讨该病的治疗及预后。

关键词: IgA血管炎, 过敏性紫癜, 紫癜性肾炎, 儿童

Abstract:

IgA vasculitis (IgAV) is an autoimmune disease caused by IgA deposition in small blood vessels. It is characterized by non-thrombocytopenic purpura, abdominal pain, joint swelling and pain, hematuria or proteinuria. The disease is self-limited, with only a minority progressing to end-stage renal disease in later life. This paper reviews the clinical features of IgAV in children and the mechanisms of renal involvement, and discusses the treatment and prognosis of the disease.

Key words: IgA vasculitis, Henoch-Schönlein purpura, purpura nephritis, child