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A Case of Henoch-Schönlein Purpura with Fulminant Complications and Its Long-term Outcome
Childhood Kidney Diseases ; : 128-133, 2019.
Article in English | WPRIM | ID: wpr-785571
ABSTRACT
Henoch-Schönlein purpura (HSP) is a systemic vasculitis characterized by purpura, arthritis, abdominal pain, and nephritis. Gastrointestinal involvement can manifest as pain, intussusception, intestinal bleeding, and intestinal perforation. We report a case of fulminant HSP at an age of eight in 1994, with multiple complications of intra-thoracic bleeding, massive intestinal perforation, nephritis, and various skin rashes. The brisk bleeding findings of intestinal on Technetium-99m-labeled red blood cell scan (99mTc RBC scan) were well matched to those of the emergency laparotomy and the resected intestine. The patient's abdominal conditions improved gradually but nodular skin eruptions developed newly apart from improving preexisting lower limb rashes and the urine findings continued abnormal, so skin and kidney biopsy were done for the diagnosis. After cyclosporine therapy, skin eruptions and urine findings returned to normal gradually. On a follow-up after 25 years in 2019, the patient is 33-year-old, healthy without any abnormality on blood chemistries and urine examination.
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Full text: Available Index: WPRIM (Western Pacific) Main subject: Arthritis / Purpura / Skin / Biopsy / Abdominal Pain / Follow-Up Studies / Cyclosporine / Lower Extremity / Diagnosis / Emergencies Type of study: Diagnostic study / Observational study / Prognostic study Limits: Adult / Humans Language: English Journal: Childhood Kidney Diseases Year: 2019 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Arthritis / Purpura / Skin / Biopsy / Abdominal Pain / Follow-Up Studies / Cyclosporine / Lower Extremity / Diagnosis / Emergencies Type of study: Diagnostic study / Observational study / Prognostic study Limits: Adult / Humans Language: English Journal: Childhood Kidney Diseases Year: 2019 Type: Article