017 Pulmonary renal syndrome in Henoch-Schönlein purpura: a life-threatening complication

We present an unusual case of a young 26-year-old male who was diagnosed with Henoch-Schonlein Purpura (HSP). Initial presentation was primarily mild gastrointestinal symptoms, which progressed to a life threatening intussusception and subsequently resolved with prompt glucocorticoid use rather than typical surgical intervention. Of importance, the patient’s initial gastrointestinal symptoms without associated skin manifestations made the diagnosis difficult. In conclusion, it is important to recognize uncommon presentations of HSP as it may lead to life threatening complications and surgical intervention may be avoided with prompt treatment.

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Henoch-Schönlein purpura

Journal of Surgical Dermatology ◽

10.18282/jsd.v1.i3.53 ◽

2016 ◽

Vol 1 (3) ◽

Author(s):

Natalia Zdanowska ◽

Agnieszka Owczarczyk-Saczonek ◽

Waldemar Placek

Keyword(s):

Surgical Intervention ◽

Systemic Vasculitis ◽

Bowel Perforation ◽

Careful Monitoring ◽

Henoch Schonlein Purpura ◽

Life Threatening ◽

Adults And Children ◽

The Central Nervous System ◽

Schonlein Purpura ◽

Henoch Schönlein Purpura

<p>Henoch-Schönlein purpura (HSP) is an acute, systemic vasculitis which usually occurs in young adults and children. The skin involvement may lead to the manifestation of symptoms associated with vasculitis in intestines, kidneys, and the central nervous system. The incidence of bowel perforation in course of HSP is very seldom and it occurs about 10 days after the appearance of the first symptoms. We present a 23-year-old male patient with jejunal intussusception in the course of HSP. The patient was operated urgently with resection of part of the small intestine. Adults rarely suffer from the occurrence of abdominal pain and fever, but sometimes they require careful monitoring and surgical intervention because misdiagnosis can be life threatening.</p><p class="Standard"> </p>

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Life-Threatening Gastrointestinal Bleeding due to a Jejunal Lesion of Henoch-Schönlein Purpura

Endoscopy ◽

10.1055/s-2001-16529 ◽

2001 ◽

Vol 33 (9) ◽

pp. 811-813 ◽

Cited By ~ 19

Author(s):

F. Lippl ◽

W. Huber ◽

M. Werner ◽

H. Nekarda ◽

H. Berger ◽

...

Keyword(s):

Gastrointestinal Bleeding ◽

Henoch Schonlein Purpura ◽

Life Threatening ◽

Schonlein Purpura ◽

Henoch Schönlein Purpura

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Partial response to anakinra in life-threatening Henoch-Schönlein purpura: case report

Pediatric Rheumatology ◽

10.1186/1546-0096-9-21 ◽

2011 ◽

Vol 9 (1) ◽

pp. 21 ◽

Cited By ~ 12

Author(s):

Erynn M Boyer ◽

Martin Turman ◽

Kathleen M O'Neil

Keyword(s):

Case Report ◽

Partial Response ◽

Henoch Schonlein Purpura ◽

Life Threatening ◽

Schonlein Purpura ◽

Henoch Schönlein Purpura

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Life-threatening complications of Henoch-Schönlein purpura: diffuse alveolar haemorrhage, venous thrombosis and bowel ischaemia

BMJ Case Reports ◽

10.1136/bcr-2020-235905 ◽

2020 ◽

Vol 13 (9) ◽

pp. e235905

Author(s):

Kezreen Kaur Dhaliwal ◽

Nur Atikah Lile ◽

Chou Luan Tan ◽

Chong Hong Lim

Keyword(s):

Venous Thrombosis ◽

Systemic Vasculitis ◽

Alveolar Haemorrhage ◽

Diffuse Alveolar Haemorrhage ◽

Henoch Schonlein Purpura ◽

Bowel Ischaemia ◽

Life Threatening ◽

Schonlein Purpura ◽

Purpuric Rash ◽

Henoch Schönlein Purpura

Henoch-Schönlein purpura (HSP) is a common systemic vasculitis occurring in children. Making a diagnosis of HSP is often straightforward, managing its complications can be difficult. Diffuse alveolar haemorrhage (DAH), bowel ischaemia and venous thrombosis are rare complications of this disorder. We present a case of a 15-year-old teenage girl presenting with typical purpuric rash of HSP, developed DAH, bowel ischaemia and venous thrombosis. She was successfully treated with pulse methylprednisolone, intravenous Ig and intravenous cyclophosphamide.

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