Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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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) ;
  • Lee, Sang-Do (Department of Internal Medicine, Asan Medical Center, College of Medicine, University of Ulsan) ;
  • 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
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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.

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