Comprehensive Dental Management of Children with Henoch-Schonlein Purpura: A Literature Review

DOI

10.2991/ahsr.k.220302.010How to use a DOI?

Keywords

Henöch-Schonlein Purpura; focal infection

Abstract

Introduction: Henoch-Schonlein purpura is the most common childhood vaskulitis, affecting 10-20 children per 100.000 per year. More than 90% of patients are under 10 years old with a mean age of 6 years. It is characterized by non-thrombocytopenic purpura, arthritis, abdominal pain and gastrointestinal bleeding, and nephritis leading to renal failure in children. The most common factor that triggers this disease is bacterial invasion, especially the infection foci that is often found in the children oral cavity. Therefore, a comprehensive oral and dental management have to carried out. Purpose: The purpose of this article is to make a review of dental and oral care in children with HSP. Reviews: focal infection in the child’s oral cavity can be a trigger of HSP. Pathogenesis of HSP is associated with complex diseases that are contributed by genetic factors and environmental triggers, one of which is odontogenic infection. A lesion could contain a thousand billion colonies of both aerobic and anaerobic bacteria. Various inflammatory cells in the form of cytokines are produced by cellular components of periapical lesions that activate immune reactions, therefore odontogenic infections, especially chronic apical periodontitis, have the potential to trigger HSP. Management of focal odontogenic infections could reduce the incidence of HSP especially HSP with kidney involvement. Conclusion: Comprehensive care needs to be taken to prevent recurrence of the disease and to limit the complications.

Copyright

© 2022 The Authors. Published by Atlantis Press International B.V.

Open Access

This is an open access article under the CC BY-NC license.

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TY  - CONF
AU  - Vera Yulina
AU  - Willyanti Suwondo
PY  - 2022
DA  - 2022/03/03
TI  - Comprehensive Dental Management of Children with Henoch-Schonlein Purpura: A Literature Review
BT  - Proceedings of the 2nd Aceh International Dental Meeting 2021 (AIDEM 2021)
PB  - Atlantis Press
SP  - 55
EP  - 60
SN  - 2468-5739
UR  - https://doi.org/10.2991/ahsr.k.220302.010
DO  - 10.2991/ahsr.k.220302.010
ID  - Yulina2022
ER  -