Korean J Med.  2008 Dec;75(6):723-727.

A case of diffuse alveolar hemorrhage with thoracocervicofacial purpura after a generalized tonic-clonic seizure

Affiliations
  • 1Department of Internal Medicine, Konkuk University School of Medicine, Seoul, Korea. sjkim@kuh.ac.kr

Abstract

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.

Keyword

Seizure; Diffuse alveolar hemorrhage; Purpura

MeSH Terms

Adult
Epilepsy
Female
Hemoptysis
Hemorrhage
Humans
Pulmonary Edema
Purpura
Seizures
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