Titre
Ureteral or vesical involvement in Henoch-Schönlein syndrome: a systematic review of the literature.
Type
article
Institution
Externe
Périodique
Auteur(s)
Siegenthaler, G.M.
Auteure/Auteur
Rizzi, M.
Auteure/Auteur
Bettinelli, A.
Auteure/Auteur
Simonetti, G.D.
Auteure/Auteur
Ferrarini, A.
Auteure/Auteur
Bianchetti, M.G.
Auteure/Auteur
Liens vers les personnes
ISSN
1432-198X
Statut éditorial
Publié
Date de publication
2014-02
Volume
29
Numéro
2
Première page
235
Dernière page/numéro d’article
239
Peer-reviewed
Oui
Langue
anglais
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't ; Review ; Systematic Review
Publication Status: ppublish
Publication Status: ppublish
Résumé
Little information is available on ureteral or vesical involvement in Henoch-Schönlein syndrome. To determine the features of this condition we performed a formal analysis of peer-reviewed scientific literature on this topic.
The US National Library of Medicine database was used as the data source. All articles published as full-length articles or letters were collected. Reports published in languages other than English, French, German, Italian or Spanish were not considered.
We analyzed 32 reports describing 35 cases (24 male and 11 female subjects aged between 3.5 and 63, median 7.0 years) with ureteral (n = 30), vesical (n = 4), or both ureteral and vesical involvement (n = 1). The presentation included colicky abdominal pain, macroscopic hematuria (sometimes containing blood clots), urinary tract infection or urinary retention. The diagnosis of ureteral involvement was often fortuitous. Patients with vesical involvement were managed conservatively. However, the majority of those with ureteral involvement were managed surgically.
Ureteral or vesical involvement is unusual and likely underappreciated in Henoch-Schönlein syndrome. Improved recognition and wider appreciation of this involvement can help to avoid associated morbidity. Management must be individualized for each patient. A multidisciplinary approach may be of value in planning medical treatment, surgical intervention, and follow-up.
The US National Library of Medicine database was used as the data source. All articles published as full-length articles or letters were collected. Reports published in languages other than English, French, German, Italian or Spanish were not considered.
We analyzed 32 reports describing 35 cases (24 male and 11 female subjects aged between 3.5 and 63, median 7.0 years) with ureteral (n = 30), vesical (n = 4), or both ureteral and vesical involvement (n = 1). The presentation included colicky abdominal pain, macroscopic hematuria (sometimes containing blood clots), urinary tract infection or urinary retention. The diagnosis of ureteral involvement was often fortuitous. Patients with vesical involvement were managed conservatively. However, the majority of those with ureteral involvement were managed surgically.
Ureteral or vesical involvement is unusual and likely underappreciated in Henoch-Schönlein syndrome. Improved recognition and wider appreciation of this involvement can help to avoid associated morbidity. Management must be individualized for each patient. A multidisciplinary approach may be of value in planning medical treatment, surgical intervention, and follow-up.
PID Serval
serval:BIB_064FC95EF105
PMID
URL éditeur
Date de création
2021-03-08T10:03:47.591Z
Date de création dans IRIS
2025-05-20T17:09:19Z