Posterior reversible encephalopathy syndrome associated with Henoch Schonlein Purpura in a pediatric patient

Am J Emerg Med. 2021 May:43:291.e5-291.e7. doi: 10.1016/j.ajem.2020.10.024. Epub 2020 Oct 16.

Abstract

Henoch Schonlein Purpura is a rare hypersensitivity vasculitis that is commonly associated with pediatric patients. It typically presents with purpuric rash to the lower extremities, abdominal pain and microscopic hematuria; however, it may also be associated with intussusception, glomerulonephritis and hypertension. Posterior Reversible Encephalopathy Syndrome is a poorly understood, rare condition associated with cerebral edema and segmental vasoconstriction. Typically characterized by headaches, seizures, and visual changes, which is presumed to be associated with rapid increases in blood pressure. We present the case of a 6-year-old female who developed Posterior Reversible Encephalopathy Syndrome as a complication from Henoch Schonlein Purpura.

Keywords: HSP; IgA Vasculitis; PRES; Pediatrics.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Pain / etiology
  • Antihypertensive Agents / therapeutic use
  • Child
  • Female
  • Humans
  • IgA Vasculitis / complications
  • IgA Vasculitis / diagnosis*
  • IgA Vasculitis / drug therapy
  • Posterior Leukoencephalopathy Syndrome / diagnosis*
  • Posterior Leukoencephalopathy Syndrome / etiology

Substances

  • Antihypertensive Agents