Stroke and skin rash: A rare case of Henoch-Schonlein purpura

Henoch-Schonlein purpura (HSP) is a small vessel vasculitis that is rare in adults. Here, we present a case of a woman who presented with palpable purpura, abdominal pain, arthritis and ischemic stroke. The patient met the diagnostic criteria of HSP. However, cerebrovascular disease is reported as a...

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Bibliographic Details
Main Authors: Kaushik Ghosh, Atri Chatterjee, Jyoti Tanmay Sau, Sandip Dey
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2012-01-01
Series:Annals of Indian Academy of Neurology
Subjects:
Online Access:http://www.annalsofian.org/article.asp?issn=0972-2327;year=2012;volume=15;issue=4;spage=307;epage=309;aulast=Ghosh
Description
Summary:Henoch-Schonlein purpura (HSP) is a small vessel vasculitis that is rare in adults. Here, we present a case of a woman who presented with palpable purpura, abdominal pain, arthritis and ischemic stroke. The patient met the diagnostic criteria of HSP. However, cerebrovascular disease is reported as an uncommon, yet fatal, complication of HSP. The patient responded to aggressive immunosuppression with pulses of corticosteroids and cyclophosphamide. In the absence of an established protocol of treatment of such neurologic emergency in HSP patients, this report demonstrates a successful outcome.
ISSN:0972-2327
1998-3549