[Cerebral ischemia and severe digestive manifestations during rheumatoid purpura].
A 14-year-old male patient with Schönlein-Henoch vasculitis developed neurologic manifestations including cortical blindness, seizures and CT scan evidence of occipital ischemia. These manifestations occurred concomitantly with severe bleeding from a duodenal ulcer seen at endoscopy. Corticosteroid therapy was initially rejected then finally given because of the severity of neurologic involvement. Both neurologic and digestive manifestations improved rapidly. A control digestive endoscopy performed 30 days later was normal.
Benhamou
B
B
Pédiatrie II, Hôpital d'Enfants, Rabat, Maroc.
Balafrej
A
A
Jaritz
E
E
Mikou
N
N
Baroudi
A
A
D000284:Administration, Oral; D000293:Adolescent; D000305:Adrenal Cortex Hormones / Q000008:administration & dosage / Q000627:therapeutic use; D001766:Blindness / Q000209:etiology; D002545:Brain Ischemia / Q000000981:diagnostic imaging / Q000209:etiology*; D004381:Duodenal Ulcer / Q000175:diagnosis / Q000209:etiology*; D016099:Endoscopy, Gastrointestinal; D006801:Humans; D011695:IgA Vasculitis / Q000150:complications* / Q000188:drug therapy; D008297:Male; D014057:Tomography, X-Ray Computed
D000305:Adrenal Cortex Hormones
Ischémie cérébrale et manifestations digestives sévères au cours d'un purpura rhumatoïde.