The Korean Journal of Internal Medicine

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Original Article
Korean J Med. 2009;76(1):90-95.
뇌출혈을 동반한 Henoch-Schönlein 자반증 1예
김효영
A case of Henoch-Schönlein purpura with intracerebral hemorrhage
Hyo Young Kim


Abstract
Henoch-Schönlein purpura (HSP) is an immunologically medicated systemic vasculitis of small blood vessels affecting the skin, gastrointestinal tract, joints, and kidneys predominantly. Neurological complications in HSP include headache, focal cerebral deficit, coma, convulsion, subarachnoid hemorrhage, and chorea. However, intracerebral hemorrhage complicating HSP is rare. We describe a case of HSP with an intracerebral hemorrhage in a 67-year-old female who was diagnosed with HSP and complained of left homonymous hemianopsia and numbness in the right hand during treatment. Brain imaging showed an intracerebral hemorrhage in the occipital lobe. Her symptoms improved after conservative care. Ultimately, the patient died because of vasculitis and a worsening infection. We report the case of an elderly female with an intracerebral hemorrhage in HSP and review the literature. (Korean J Med 76:90-95, 2009)

Keywords :Henoch-Schö, nlein Purpura, Intracerebral hemorrhage
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