Tuberculosis and Respiratory Diseases
- Volume 43 Issue 3
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- Pages.461-466
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- 1996
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- 1738-3536(pISSN)
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- 2005-6184(eISSN)
A case of diffuse alveolar hemorrhage associated with Henoch-Schoenlein purpura
헤노호-쉔라인 자반증 (Henoch-Schoenlein purpura)에 합병된 미만성 폐포출혈 1예
- Cho, Won-Kyoung (Department of Internal Medicine, Asan Medical Center, College of Medicine, University of Ulsan) ;
-
Lim, Chae-Man
(Department of Internal Medicine, Asan Medical Center, College of Medicine, University of Ulsan) ;
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Lee, Sang-Do
(Department of Internal Medicine, Asan Medical Center, College of Medicine, University of Ulsan) ;
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Koh, Youn-Suck
(Department of Internal Medicine, Asan Medical Center, College of Medicine, University of Ulsan) ;
- Kim, Woo-Sung (Department of Internal Medicine, Asan Medical Center, College of Medicine, University of Ulsan) ;
- Yoo, Eun-Sil (Department of Pathology, Asan Medical Center, College of Medicine, University of Ulsan) ;
- Kim, Dong-Soon (Department of Internal Medicine, Asan Medical Center, College of Medicine, University of Ulsan) ;
- Kim, Won-Dong (Department of Internal Medicine, Asan Medical Center, College of Medicine, University of Ulsan)
- 조원경 (울산대학교 의과대학 내과) ;
-
임채만
(울산대학교 의과대학 내과) ;
-
이상도
(울산대학교 의과대학 내과) ;
-
고윤석
(울산대학교 의과대학 내과) ;
- 김우성 (울산대학교 의과대학 내과) ;
- 유은실 (울산대학교 의과대학 진단병리과) ;
- 김동순 (울산대학교 의과대학 내과) ;
- 김원동 (울산대학교 의과대학 내과)
- Published : 1996.06.30
Abstract
Diffuse alveolar hemorrhage is a very rare manifestation in Henoch-Schoenlein purpura. Recently we experience a case of diffuse alveolar hemorrhage associated with Henoch-Schoenlein purpura which was diagnosed by typical clinical manifestation and renal biopsy. A 25 year old male was admitted due to hemoptysis and dyspnea. Chest X-ray, HRCT and BAL revealed diffuse alveolar hemorrhage. He also had a history of skin rash, polyarthralgia, and hematochezia with abdominal pain. Renal biopsy which was taken for the evaluation of microscopic hematuria showed IgA nephropathy. Under the diagnosis of Henoch-Schoenlein purpura, we treated him with solumedrol pulse therapy, plasma-pheresis and prednisolone with cytoxan. After then he showed marked improvement in clinical manifestation and was discharged with prednisolone and cytoxan.