Korean J Med.  2009 Jan;76(1):90-95.

A case of Henoch-Schonlein purpura with intracerebral hemorrhage

• Kim HY
• Hong GY
• Son MS
• Lee SY
• Kim SH
• Yang DH
• Kim HJ

Abstract

Henoch-Sch?nlein 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.

Keyword

Henoch-Schonlein Purpura; Intracerebral hemorrhage

MeSH Terms

Aged
Blood Vessels
Cerebral Hemorrhage
Chorea
Coma
Female
Gastrointestinal Tract
Hand
Headache
Hemianopsia
Humans
Hypesthesia
Joints
Kidney
Neuroimaging
Occipital Lobe
Purpura
Purpura, Schoenlein-Henoch
Seizures
Skin
Subarachnoid Hemorrhage
Systemic Vasculitis
Vasculitis