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Case Reports
. 2016 Oct 1;114(5):e366-9.
doi: 10.5546/aap.2016.eng.e366. Epub 2016 Oct 1.

Pulmonary hemorrhage, a rare complication in a girl with Henoch-Schönlein purpura

[Article in English, Spanish]
Gokce Gur  1 , Nilgun Cakar  1   2 , Saba Kiremitci  3 , Aysel Taktak  1 , Ozge Basaran  4 , Nermin Uncu  1   2
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Free article
Case Reports

Pulmonary hemorrhage, a rare complication in a girl with Henoch-Schönlein purpura

[Article in English, Spanish]
Gokce Gur et al. Arch Argent Pediatr. .
Free article

Abstract
in English, Spanish

Henoch-Schonlein purpura (HSP) is the most common vasculitis in children. Vasculitic processes can involve the lung. Although diffuse alveolar hemorrhage may be seen as one of the manifestation of HSP, it is not a frequent presentation. Here we reported the case of a 10-year-old girl with HSP nephritis who developed pulmonary hemorrhage. The patient was treated successfully with intravenous methylprednisolone. A review of the literature revealed that young age may be a good prognostic sign and that immunosuppressive drugs and supportive management are essential in the treatment.

La púrpura de Schonlein-Henoch (PSH) es la vasculitis más frecuente en los niños. Los procesos vasculíticos pueden afectar el pulmón. Si bien la hemorragia alveolar difusa puede considerarse una de las manifestaciones de la PSH, no es un cuadro frecuente. En este artículo presentamos el caso de una niña de 10 años con nefritis por PSH que sufrió hemorragia pulmonar. La paciente recibió un tratamiento satisfactorio con metilprednisolona intravenosa. La revisión de las publicaciones reveló que la edad temprana puede influir de manera positiva en el pronóstico, y que los inmunosupresores y el tratamiento complementario son fundamentales.

Keywords: Alveolar hemorrhage; Child; Henoch-Schonlein purpura; Pulmonary.

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