A case of diffuse alveolar hemorrhage associatedwith Henoch-Schoenlein purpura.
10.4046/trd.1996.43.3.461
- Author:
Won Kyoung CHO
1
;
Chae Man LIM
;
Sang Do LEE
;
Youn Suck KOH
;
Woo Sung KIM
;
Eun Sil YOO
;
Dong Soon KIM
;
Won Dong KIM
Author Information
1. Department of Internal Medicine, Pathology, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Henoch-Schoenlein purpura;
Alveolar hemorrhage
- MeSH:
Abdominal Pain;
Arthralgia;
Biopsy;
Cyclophosphamide;
Diagnosis;
Dyspnea;
Exanthema;
Gastrointestinal Hemorrhage;
Glomerulonephritis, IGA;
Hematuria;
Hemoptysis;
Hemorrhage*;
Humans;
Male;
Methylprednisolone Hemisuccinate;
Prednisolone;
Purpura, Schoenlein-Henoch*;
Thorax
- From:Tuberculosis and Respiratory Diseases
1996;43(3):461-466
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Diffuse alveolar hemorrhage is a very rare manifestation in Henoch-Schoenlein purpura. Recently we experience a case of diffuse alveolar hemorrhage associated with Henoch-Schoenlein purpura which was diagnosed by typical clinical manifestation and renal biopsy. A 25 year old male was admitted due to hemoptysis and dyspnea. Chest X-ray, HRCT and BAL revealed diffuse alveolar hemorrhage. He also had a history of skin rash, polyarthralgia, and hematochezia with abdominal pain. Renal biopsy which was taken for the evaluation of microscopic hematuria showed IgA nephropathy. Under the diagnosis of Henoch-Schoenlein purpura, we treated him with solumedrol pulse therapy, plasma-pheresis and prednisolone with cytoxan. After then he showed marked improvement in clinical manifestation and was discharged with prednisolone and cytoxan.
