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A Case of Pulmonary Hemorhage Associated with Henoch-Schönlein Purpura

  • Sim, Yun Su (Department of Internal Medicine, Ewha Womans University College of Medicine) ;
  • Choi, Moon Young (Department of Internal Medicine, Ewha Womans University College of Medicine) ;
  • Oh, Ji Young (Department of Internal Medicine, Ewha Womans University College of Medicine) ;
  • Lee, Jin Hwa (Department of Internal Medicine, Ewha Womans University College of Medicine) ;
  • Moon, Jin Wook (Department of Internal Medicine, Ewha Womans University College of Medicine) ;
  • Choi, Kyu Bock (Department of Internal Medicine, Ewha Womans University College of Medicine) ;
  • Ahn, Jae Ho (Department of Chest Surgery, Ewha Womans University College of Medicine) ;
  • Kim, Yoo Kyung (Department of Diagnostic Radiology, Ewha Womans University College of Medicine) ;
  • Sung, Sun Hee (Department of Pathology, Ewha Womans University College of Medicine) ;
  • Chang, Jung Hyun (Department of Internal Medicine, Ewha Womans University College of Medicine)
  • 투고 : 2006.06.21
  • 심사 : 2006.09.11
  • 발행 : 2009.09.30

초록

Henoch-$Sch\ddot{o}nlein$ purpura (HSP) is an immunologically mediated systemic vasculitis of small blood vessels that primarily involves the skin, gastrointestinal tract, joints and kidneys. HSP is a common vasculitic syndrome in children who, in most cases, achieve complete recovery. Pulmonary hemorrhage is a very rare manifestation of HSP. The authors present a case of a 46-year-old male presenting with pulmonary hemorrhage and renal involvement and the diagnosis of HSP. The patient responded to prednisolone therapy.

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참고문헌

  1. Levy M, Broyer M, Arsan A, Levy-Bentolila D, Habib R. Anaphylactoid purpura nephritis in childhood. Adv Nephrol Necker Hosp 1976;6:183-228
  2. Jacome AF. Pulmonary haemorrhage and death complicating anaphylactoid purpura. South Med J 1967;60:1003-4 https://doi.org/10.1097/00007611-196709000-00019
  3. Roth DA, Wilz DR, Theil GB. Sch$\ddot{o}$nlein-Henoch syndrome in adults. Q J Med 1985;55:145-52
  4. Hoffman GS, Kerr GS, Leavitt RY, Hallahan CW, Lebovics RS, Travis WD, et al. Wegener granulomatosis:an analysis of 158 patients. Ann Intern Med 1992;116:488-98 https://doi.org/10.7326/0003-4819-116-6-488
  5. Sullivan EJ, Hoffman GS. Pulmonary vasculitis. Clin Chest Med 1998;19:759-76 https://doi.org/10.1016/S0272-5231(05)70115-5
  6. Kelly WN, Harris ED Jr, Ruddy S, Sledge C. Textbook of rheumatology. 4th ed. Philadelphia: WB Saunders;1993
  7. Hall SL, Miller LC, Duggan E, Mauer SM, Beatty EC, Hellerstein S. Wegener granulomatosis in pediatric patients. J Pediatr 1985;106:739-44 https://doi.org/10.1016/S0022-3476(85)80346-2
  8. Paller AS, Kelly K, Sethi R. Pulmonary hemorrhage: an often fatal complication of Henoch-Sch$\ddot{o}$nlein purpura. Pediatr Dermatol 1997;14:299-302 https://doi.org/10.1111/j.1525-1470.1997.tb00963.x
  9. Kathuria S, Cheifec G. Fatal pulmonary Henoch-Sch$\ddot{o}$nlein syndrome. Chest 1982;82:654-6 https://doi.org/10.1378/chest.82.5.654
  10. Weiss VF, Naidu S. Fatal pulmonary hemorrhage in Henoch-Sch$\ddot{o}$nlein purpura. Cutis 1979;23:687-8
  11. Markus HS, Clark JV. Pulmonary haemorrhage in Henoch-Sch$\ddot{o}$nlein purpura. Thorax 1989;44:525-6 https://doi.org/10.1136/thx.44.6.525
  12. Saulsbury FT. Henoch - Sch$\ddot{o}$nlein purpura in children: report of 100 patients and review of the literature. Medicine (Baltimore) 1999;78:395-409 https://doi.org/10.1097/00005792-199911000-00005