Korean J Med > Volume 75(6); 2008 > Article
The Korean Journal of Medicine 2008;75(6):723-727.
A case of diffuse alveolar hemorrhage with thoracocervicofacial purpura after a generalized tonic-clonic seizure
Jung-Hyun Lee, Hyun Sung Yoon, Eung Jun Lee, Han Su Cho, Dong Choon Seol, Seung Oh Choi, Sun Jong Kim
경희대학교 의과대학 순환기내과학교실
간질발작 후에 발생한 미만성 폐포 출혈과 안면경흉부 자반증 1예
이정현, 윤현성, 이응준, 조한수, 설동춘, 최승오, 김순종
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. (Korean J Med 75:723-727, 2008)
Key Words: Seizure; Diffuse alveolar hemorrhage; Purpura


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