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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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
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author Kaushik Ghosh
Atri Chatterjee
Jyoti Tanmay Sau
Sandip Dey
author_facet Kaushik Ghosh
Atri Chatterjee
Jyoti Tanmay Sau
Sandip Dey
author_sort Kaushik Ghosh
collection DOAJ
description 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.
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spelling doaj.art-c8d646cfc9ad48528b4f845647862be22022-12-22T01:14:30ZengWolters Kluwer Medknow PublicationsAnnals of Indian Academy of Neurology0972-23271998-35492012-01-0115430730910.4103/0972-2327.104343Stroke and skin rash: A rare case of Henoch-Schonlein purpuraKaushik GhoshAtri ChatterjeeJyoti Tanmay SauSandip DeyHenoch-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.http://www.annalsofian.org/article.asp?issn=0972-2327;year=2012;volume=15;issue=4;spage=307;epage=309;aulast=GhoshCyclophosphamideHenoch-Schonlein purpuraischemic stroke
spellingShingle Kaushik Ghosh
Atri Chatterjee
Jyoti Tanmay Sau
Sandip Dey
Stroke and skin rash: A rare case of Henoch-Schonlein purpura
Annals of Indian Academy of Neurology
Cyclophosphamide
Henoch-Schonlein purpura
ischemic stroke
title Stroke and skin rash: A rare case of Henoch-Schonlein purpura
title_full Stroke and skin rash: A rare case of Henoch-Schonlein purpura
title_fullStr Stroke and skin rash: A rare case of Henoch-Schonlein purpura
title_full_unstemmed Stroke and skin rash: A rare case of Henoch-Schonlein purpura
title_short Stroke and skin rash: A rare case of Henoch-Schonlein purpura
title_sort stroke and skin rash a rare case of henoch schonlein purpura
topic Cyclophosphamide
Henoch-Schonlein purpura
ischemic stroke
url http://www.annalsofian.org/article.asp?issn=0972-2327;year=2012;volume=15;issue=4;spage=307;epage=309;aulast=Ghosh
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AT jyotitanmaysau strokeandskinrashararecaseofhenochschonleinpurpura
AT sandipdey strokeandskinrashararecaseofhenochschonleinpurpura