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. 2008 Jun;1(3):167-70.
doi: 10.1093/ndtplus/sfn015. Epub 2008 Mar 3.

A patient with Henoch-Schönlein purpura and intra-alveolar haemorrhage

Affiliations

A patient with Henoch-Schönlein purpura and intra-alveolar haemorrhage

Nigel D Toussaint et al. NDT Plus. 2008 Jun.
No abstract available

Keywords: Henoch-Schönlein purpura; pulmonary haemorrhage; renal failure.

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Figures

Fig. 1
Fig. 1
Renal biopsy. (A) The glomerulus shows segmental necrosis with fibrin exudation and a small cellular crescent (arrow). Note also endocapillary hypercellularity and neutrophil polymorph exudation. Haematoxylin & eosin (H&E). Original magnification ×200. (B) There is fibrin within several capillary loops and Bowman's space (arrows). The remaining capillary loops on the left show mild hypercellularity only. Silver trichrome. Original magnification ×400. Direct immunofluorescence microscopy for IgA (C) and C3 (D) shows strong granular mesangial and peripheral capillary wall staining. Original magnification ×200.
Fig. 2
Fig. 2
Chest CT. Diffuse ground glass pattern consistent with pulmonary haemorrhage and sparing the left lower lobe.
Fig. 3
Fig. 3
Lung biopsy. (A) There is fresh intra-alveolar haemorrhage and fibrin exudation (arrow). (B) This small artery shows fibrinoid necrosis and intimal proliferation with liminal occlusion (arrow). H&E. Original magnification ×100.

References

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