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Table 1 Six patients with Henoch-Schönlein purpura treated with azathioprine

From: Azathioprine therapy for steroid-resistant Henoch-Schönlein purpura: a report of 6 cases

 

Demographics

Clinical manifestations

Duration of disease prior to starting azathioprine

Azathioprine dose and duration

Glucocorticoid dose and duration

Length of remission off all medication

Patient 1

7 y/o female

Rash, abdominal pain

5 weeks

1 mg/kg/day for 11 months

Discharged on methylprednisolone 1 mg/kg/day tapered over 6 weeks (total of 9 weeks including 3 weeks of inpatient treatment)

15 months

Patient 2

11 y/o female

Rash, arthralgias, abdominal pain

7 months

1 mg/kg/day for 7 months

Prednisone 0.5 mg/kg/day and taper over 6 weeks

8 months

Patient 3

8 y/o female

Rash, arthralgias

5 months

1 mg/kg/day for 13 months

Prednisone 0.5 mg/kg/day and taper over 6 weeks

4 years

Patient 4

9 y/o male

Rash, arthralgias, abdominal pain

3 months

2 mg/kg/day for 18 months (still active and off steroids for last 6 months)

Prednisone 1 mg/kg/day and taper over 14 months

N/A

Patient 5

9 y/o male

Rash, abdominal pain, renal disease

Intermittent disease over 4 years

1 mg/kg/day for 21 months

Prednisone 0.5 mg/kg/day and taper over 16 months

3.5 years

Patient 6

8 y/o female

Rash, arthralgias, abdominal pain

4 months

1 mg/kg/day for 13 months

Prednisone 0.5 mg/kg/day and taper over 6 months

20 months