A case of Henoch-Schonlein purpura with intracerebral hemorrhage.
- Author:
Hyo Young KIM
1
;
Gi Youn HONG
;
Myung Su SON
;
So Young LEE
;
Sang Hoon KIM
;
Dong Ho YANG
;
Hyung Jong KIM
Author Information
1. Department of Internal Medicine, College of Medicine, Pochon CHA University, Sungnam, Korea. khj04@cha.ac.kr
- Publication Type:Case Report
- Keywords:
Henoch-Schonlein Purpura;
Intracerebral hemorrhage
- MeSH:
Aged;
Blood Vessels;
Cerebral Hemorrhage;
Chorea;
Coma;
Female;
Gastrointestinal Tract;
Hand;
Headache;
Hemianopsia;
Humans;
Hypesthesia;
Joints;
Kidney;
Neuroimaging;
Occipital Lobe;
Purpura;
Purpura, Schoenlein-Henoch;
Seizures;
Skin;
Subarachnoid Hemorrhage;
Systemic Vasculitis;
Vasculitis
- From:Korean Journal of Medicine
2009;76(1):90-95
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Henoch-Sch?nlein purpura (HSP) is an immunologically medicated systemic vasculitis of small blood vessels affecting the skin, gastrointestinal tract, joints, and kidneys predominantly. Neurological complications in HSP include headache, focal cerebral deficit, coma, convulsion, subarachnoid hemorrhage, and chorea. However, intracerebral hemorrhage complicating HSP is rare. We describe a case of HSP with an intracerebral hemorrhage in a 67-year-old female who was diagnosed with HSP and complained of left homonymous hemianopsia and numbness in the right hand during treatment. Brain imaging showed an intracerebral hemorrhage in the occipital lobe. Her symptoms improved after conservative care. Ultimately, the patient died because of vasculitis and a worsening infection. We report the case of an elderly female with an intracerebral hemorrhage in HSP and review the literature.
