Wang et al reported a nomogram for predicting severe kidney disease in a child with Henoch-Schonlein purpura. This can help to identify a patient who may require more aggressive management. The authors are from Sichuan University and affiliated hospitals in China.
Patient selection: pediatric patient with Henoch-Schonlein purpura
Parameters:
(1) skin manifestations
(2) gastrointestinal manifestations
(3) recurrent symptoms
(4) renal involvement
Parameter
Finding
Points
skin manifestations
no
0
yes
19.3
GI manifestations
no
0
yes
21.6
recurrent symptoms
no
0
yes
40
renal involvement
no
0
yes
100
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 180.9
value of X =
= * (score))
probability of severe kidney disease within 12 months =
