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A Case of Cerebral Vasculitis in Henoch-Shonlein Purpura

Journal of the Korean Pediatric Society 2002;45(12):1601-1605.
Published online December 15, 2002.
A Case of Cerebral Vasculitis in Henoch-Shonlein Purpura
Soo Yeon Lee, Ju Mi Choung, Dong Jin Hwang, So Hee Eun, Pyoung Han Hwang
Department of Pediatrics, Schoool of Medicine, Chonbuk National University, Jeononju, Korea
알레르기성 자반증에 병발한 대뇌 혈관염 1례
이수연, 정주미, 황동진, 은소희, 황평한
전북대학교 의과대학 소아과학교실
Correspondence: 
Pyoung Han Hwang, Email: hwaph@moak.chonbuk.ac.kr
Abstract
Henoch-Sh nlein Purpura(HSP) is an immuologically mediated systemic vasculitis of small blood vessels affecting predominantly the skin, gastrointestinal tract, joints, and kidneys. Clinical neurological manifestations such as headaches, behavioral changes, mental changes, seizures, and visual loss are described, but neurological complication are rare during the course of HSP. We experienced a case of an 8 year-old male with HSP who presented with seizures. Magnetic resonance imaging(MRI) showed multiple high signal intensity in both cortical and subcortical areas of frontal and parieto-occipital lobes and magnetic resonance(MR) angiogram showed stenosis of cerebral arteries, compatible with MRI and MR angiogram findings of cerebral vasculitis. We report this case with related literature.
Key Words: Henoch-Sh nlein purpura, Cerebral vasculitis


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