Evidence map›Paper›PMID 27029321›Full record

ArticlePediatric rheumatology online journal2016

Henoch-Schönlein purpura with joint involvement: Analysis of 71 cases.

Xuehong Wang, Yongmei Zhu, Laiqiang Gao, Shuyue Wei, Youyou Zhen, Qiang Ma

Abstract read
In one paragraph

Article in Pediatric rheumatology online journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  10. Epidemiology and Clinical Characteristics of Henoch-Schönlein Purpura Associated withMediterranean journal of hematology and infectious diseases · 2021
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  18. Renal biopsy in children with IgA vasculitis.Jornal brasileiro de nefrologia
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Xuehong WangDongying Hospital of Shandong Provincial Hospital, Dongying, Shandong province, 257091, China.
Yongmei ZhuDongying Hospital of Shandong Provincial Hospital, Dongying, Shandong province, 257091, China.
Laiqiang GaoDongying Hospital of Shandong Provincial Hospital, Dongying, Shandong province, 257091, China.
Shuyue WeiDongying Hospital of Shandong Provincial Hospital, Dongying, Shandong province, 257091, China.
Youyou ZhenDongying Hospital of Shandong Provincial Hospital, Dongying, Shandong province, 257091, China.
Qiang MaDongying Hospital of Shandong Provincial Hospital, Dongying, Shandong province, 257091, China. maqiang1919@tom.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough joint involvement is the second most common clinical manifestation after skin involvement in patients with Henoch-Schönlein purpura (HSP), it has not been well characterized. The aim of this study was to profile the clinical characteristics and identify the potential risk factors for kidney damage in HSP patients having joint involvement.

methodsWe retrospectively reviewed 71 cases of HSP patients with joint involvement who attended our hospital between January 2010 and March 2012 and analyzed their epidemiological profile, clinical characteristics, follow-up findings (up to three years) and overall prognosis. Logistic regression analysis was performed to identify risk factors associated with renal symptoms in HSP patients with joint involvement.

resultsAverage age of patients was 8.55 ± 2.13 years with male to female ratio at 1.29:1. The peak age of disease onset was six to 11 years. The most common triggers included upper respiratory infection, vigorous physical activity, and autumn and winter seasons. Forty cases (56.35 %) had gastrointestinal involvement and 37 (52.11 %) had kidney damage; gastrointestinal system, scrotal involvement, and increased D-dimer levels were significantly associated with kidney injury (P < 0.05) by multivariate analysis. Glucocorticoid therapy was effective in alleviating symptoms.

conclusionGastrointestinal symptoms, scrotal involvement, and increased D-dimer are the potential risk factors for kidney damage in HSP patients having joint involvement. Rational use of corticosteroids was probably responsible for the good clinical outcomes.

Indexed as

ChildChinaFemaleGlucocorticoidsHumansIgA VasculitisIncidenceJoint DiseasesMalePrognosisRetrospective StudiesRisk FactorsGlucocorticoidsHenoch-Schönlein purpuraHSP nephritisJoint involvementRisk factors

Identifiers

PMID27029321
PMCPMC4815193

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.