Is there a crossroad between infections, genetics, and Henoch-Schönlein purpura?

Abstract:

:Henoch-Schönlein purpura is the most common systemic vasculitis in childhood, characterized by the presence of immunoglobulin A deposits in the small vessels of skin, gastrointestinal tube, joints and kidneys. Although there have been great efforts made in elucidating its pathogenic mechanisms, Henoch-Schönlein purpura etiology remains unknown: the basic scene comes across an abnormal inflammatory process deriving from immune reactions to various antigenic stimuli, which might be bacterial, viral, or parasitic agents, in a genetically prone individual. Then, a peculiar immune complex deposition in the vascular walls and overproduction of different proinflammatory molecules elicit different clinical signs, which might be differentiated according to either a specific trigger or a specific genetic make-up. The aim of this review is to make a critical appraisal of the last 15years' medical literature concerning the relationship between infections, genetics, and Henoch-Schönlein purpura in pediatrics.

journal_name

Autoimmun Rev

journal_title

Autoimmunity reviews

authors

Rigante D,Castellazzi L,Bosco A,Esposito S

doi

10.1016/j.autrev.2013.04.003

subject

Has Abstract

pub_date

2013-08-01 00:00:00

pages

1016-21

issue

10

eissn

1568-9972

issn

1873-0183

pii

S1568-9972(13)00073-6

journal_volume

12

pub_type

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