Steroids in Henoch Shonle Purpura of HIV

4th Pediatric Infectious Diseases Conference

ISSN 0973 - 0958

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Rakesh Kumar, Binay Ranjan, Manjul Vijay Department of Pediatrics, Katihar medical college, Katihar...

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	Specialist Answers
Question
What are the indications of steroids in henoch shonle in purpura? Can we get soft liver with sharp borders and firm liver with rounded borders? What is the criteria for remission in acute lymphatic leukemia? Why is there palmar erythema and parotid swelling in chronic liver disease? What is the etiology of recurrent parotitis in HIV? Why step ladder type of fever is not seen in pediatric typhoid? Which is the most suitable antifungal in treatment of febrile neutropenia?
Answer
No indications of steroids in HSP. No, a soft liver is usually round and a firm liver may have rounded or sharp borders. Read the article on ALL on www.pediatriconcall.com for further information: http://www.pediatriconcall.com/fordoctor/diseasesandcondition/ PEDIATRIC_ONCOLOGY/acute_lymphoblastic_leukemia.asp Palmar erythema in chronic liver disease occurs due to opening of AV channels. Parotid enlargement may be due to direct viral involvement, hormonal imbalance. Recuurent parotitis in HIV is due to direct HIV invasion of parotids and lymphocytic reaction of good immunity. In children, classical step ladder pattern may or may not be seen depending on the severity of the disease, whether it is typhoid or paratyphoid and treatment with antipyretics. Suitable antifungal for febrile neutropenia depends on the sensitivity of organism grown on culture. Back to All Questions

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