Evidence map›Paper›PMID 38271008›Full record

ReviewJMIR dermatology2024

Worldwide Distribution and Extracutaneous Manifestations of Henoch-Schönlein Purpura in Adults: Narrative Review.

Blair W Harris, Luke Maxfield, Abigail Hunter, Mandy Alhajj, Byung Ban, Kayd J Pulsipher

Abstract readReview
In one paragraph

Review in JMIR dermatology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Review
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.

Blair W HarrisDepartment of Dermatology, Sampson Regional Medical Center, Campbell University, Clinton, NC, United States.ORCID https://orcid.org/0000-0001-5491-5941
Luke MaxfieldDepartment of Dermatology, Sampson Regional Medical Center, Campbell University, Clinton, NC, United States.ORCID https://orcid.org/0000-0002-8084-374X
Abigail HunterDepartment of Dermatology, Sampson Regional Medical Center, Campbell University, Clinton, NC, United States.ORCID https://orcid.org/0000-0002-9355-9895
Mandy AlhajjDepartment of Dermatology, Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, OH, United States.ORCID https://orcid.org/0009-0008-6288-9681
Byung BanDepartment of Rheumatology, MedStar Georgetown University Hospital, Washington, DC, United States.ORCID https://orcid.org/0000-0002-4621-6785
Kayd J PulsipherDepartment of Dermatology, Sampson Regional Medical Center, Campbell University, Clinton, NC, United States.ORCID https://orcid.org/0000-0001-8664-7144

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHenoch-Schönlein purpura (HSP), a leukocytoclastic small vessel vasculitis, exhibits both cutaneous and systemic manifestations. While predominantly observed in childhood, it may manifest in adults with more pronounced systemic involvement. Furthermore, HSP is a global phenomenon showcasing epidemiological and systemic variances.

objectiveThis study aims to scrutinize extracutaneous manifestations in adults with HSP, discerning distinctions according to geographical regions on a worldwide scale.

methodsA comprehensive search encompassing PubMed, Embase, Cochrane Library, and Web of Science was executed, covering papers published from January 1, 1970, to December 1, 2019. Keywords used included "Henoch-Schönlein purpura," "henoch schonlein purpura+adult," "IgA vasculitis+adult," "HSP+adult," and "IgAV." A total of 995 publications were identified, from which 42 studies encompassing 4064 patients were selected, with a predominant focus on cases reported in Asia, Europe, and the Americas.

resultsAmong adults afflicted with HSP, European patients exhibited a higher propensity for male predominance (P<.001), gastrointestinal involvement (P<.001), and musculoskeletal complications (P<.001). Conversely, patients from the Americas were least likely to experience genitourinary involvement (P<.001).

conclusionsHSP demonstrates a variance in distribution and extracutaneous manifestations within distinct geographical boundaries. In the adult population, European patients exhibited a higher prevalence of male gender and gastrointestinal and musculoskeletal involvement. Asian patients were more predisposed to genitourinary involvement when compared to their American counterparts. The establishment of prospective studies using standardized reporting measures is imperative to validate the relationships unveiled in this investigation.

Indexed as

extracutaneous manifestationsHenoch-Schönlein purpuraHSPIgAVIgA vasculitisimmunoglobulin A vasculitisnarrative review

Identifiers

PMID38271008
PMCPMC10853858

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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.