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A Case of Henoch-Schonlein Purpura Nephritis Complicating Encephalopathy Accompanied by Hypertension and Cerebral Vasculitis
Journal of the Korean Pediatric Society ; : 1040-1043, 2003.
Artigo em Coreano | WPRIM | ID: wpr-24990
ABSTRACT
Henoch-Shonlein purpura(HSP) is a systemic small-vessel vasculitis that primarily affects the skin, gastrointestinal tract, joints, and kidneys. The nervous system may be involved, less commonly than other organs. When the central nervous system(CNS) was involved, headache, changes in mental status, seizures, and focal neurologic deficits have been reported. Hypertension, uremic encephalopathy, metabolic abnomalities, electrolyte abnormalities, or cerebral vasculitis were suggested as possible causes of the neurologic manifestation. Diagnosis of vasculitic involvement of CNS is difficult. Magnetic resonance imaging of the brain is the modality of choice for the evaluation of the CNS disease. Steroid or plasmapheresis are used in treatment of cerebral vasculitis. We experienced a case of 9-year-old boy who had presented with Henoch-Schonlein purpura nephritis complicating encephalopathy accompanied by hypertension and cerebral vasculitis. Brain MRI showed multiple small nodular-linear pattern enhancing lesions in whole cerebral hemispheres and focal increased T2 signal in the right basal ganglia. We used intravenous immunoglobulin in treatment of cerebral vasculitis. We report this case with a brief review of related literature.
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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Vasculite por IgA / Convulsões / Pele / Gânglios da Base / Vasculite / Encéfalo / Encefalopatias Metabólicas / Imunoglobulinas / Imageamento por Ressonância Magnética / Doenças do Sistema Nervoso Central Tipo de estudo: Estudo diagnóstico Limite: Criança / Humanos / Masculino Idioma: Coreano Revista: Journal of the Korean Pediatric Society Ano de publicação: 2003 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Vasculite por IgA / Convulsões / Pele / Gânglios da Base / Vasculite / Encéfalo / Encefalopatias Metabólicas / Imunoglobulinas / Imageamento por Ressonância Magnética / Doenças do Sistema Nervoso Central Tipo de estudo: Estudo diagnóstico Limite: Criança / Humanos / Masculino Idioma: Coreano Revista: Journal of the Korean Pediatric Society Ano de publicação: 2003 Tipo de documento: Artigo