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KMID : 0882420090760010090
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Korean Journal of Medicine
2009 Volume.76 No. 1 p.90 ~ p.95
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A case of Henoch-Schonlein purpura with intracerebral hemorrhage
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Kim Hyo-Young
Hong Gi-Youn
Son Myung-Su
Lee So-Young
Kim Sang-Hoon
Yang Dong-Ho
Kim Hyung-Jong
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Abstract
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Henoch-Schonlein 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.
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KEYWORD
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Henoch-Schonlein Purpura, Intracerebral hemorrhage
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