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KMID : 0882420080750060723
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Korean Journal of Medicine
2008 Volume.75 No. 6 p.723 ~ p.727
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A case of diffuse alveolar hemorrhage with thoracocervicofacial purpura after a generalized tonic-clonic seizure
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Lee Jung-Hyun
Yoon Hyun-Sung
Lee Eung-Jun
Cho Han-Su
Seol Dong-Choon
Choi Seung-Oh
Kim Sun-Jong
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Abstract
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A 40-year-old woman presented with hemoptysis and thoracocervicofacial purpura that occurred after a generalized tonic-clonic seizure. Diffuse alveolar hemorrhage is reported relatively rarely in neurogenic pulmonary edema (NPE), which is a life-threatening postictal complication. This clinical setting causes difficulty in the diagnosis, when an accurate diagnosis and proper management are required. Thoracocervicofacial purpura has been described as an unusual setting for an epileptic seizure. Here, we report the first case of postictal diffuse alveolar hemorrhage with thoracocervicofacial purpura. (Korean J Med 75:723-727, 2008)
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KEYWORD
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Seizure, Diffuse alveolar hemorrhage, Purpura
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