Gastrointestinal and renal involvement in vasculitis: Management strategies in Henoch-Schonlein purpura

The joint pain, inflammation, and painful cutaneous edema of Henoch-Schonle in purpura (HSP) are effectively treated with analgesics, nonsteroidal anti -inflammatory agents, and corticosteroids, but the optimal management of HS P-associated gastrointestinal and renal involvement has not yet been determ ined. The results of mostly anecdotal and uncontrolled studies favor a shor t course of oral corticosteroids for severe abdominal pain and aggressive i mmunosuppressive therapy for patients with progressive HSP nephritis.