Recurrent Henoch-Schönlein purpura following renal transplantation.
A 20-year-old patient with Henoch-Schönlein purpura leading to end-stage renal failure received a living-related renal transplant. She was treated with conventional immunosuppressive therapy. Following a quiescent period of 18 months pretransplant, at 3 months after engraftment there was recurrence of purpuric lesions with subsequent abdominal pain and glomerulonephritis. Renal and skin biopsies confirmed the immunopathologic changes of Henoch-Schönlein purpura. This case represents the second report of an adult with multiorgan recurrence of Henoch-Schönlein purpura following transplantation.
D000293:Adolescent; D001706:Biopsy; D005260:Female; D006801:Humans; D011695:IgA Vasculitis / Q000473:pathology*; D007668:Kidney / Q000473:pathology; D016030:Kidney Transplantation; D008297:Male; D011183:Postoperative Complications / Q000473:pathology*; D012008:Recurrence; D012867:Skin / Q000473:pathology