Henoch-schönlein purpura complicated by reversible posterior leukoencephalopathy syndrome

Pediatr Emerg Care. 2010 Aug;26(8):583-5. doi: 10.1097/PEC.0b013e3181ea7276.

Abstract

We report a 7-year-old girl with Henoch-Schönlein purpura who developed hypertensive encephalopathy. She showed a sudden onset of neurological symptoms, including hypertension, convulsions, disturbance of consciousness, and cortical blindness. Reversible posterior leukoencephalopathy syndrome was diagnosed from the findings on magnetic resonance imaging. Reports of this syndrome in patients with Henoch-Schönlein purpura are very rare. However, if symptoms suggest central nervous system involvement, neuroimaging should be done for rapid diagnosis, and immediate treatment should be provided to avoid sequelae.

Publication types

  • Case Reports

MeSH terms

  • Child
  • Diagnosis, Differential
  • Female
  • Follow-Up Studies
  • Humans
  • IgA Vasculitis / complications*
  • IgA Vasculitis / diagnosis
  • Magnetic Resonance Imaging
  • Posterior Leukoencephalopathy Syndrome / diagnosis
  • Posterior Leukoencephalopathy Syndrome / etiology*