title: [Shönlein-Henoch nephritis complicated with pulmonary renal syndrome].
abstract: Schönlein-Henoch purpura is a systemic vasculitic disorder involving both arterioles and capillaries. Although it is mainly a disease of early chilhood, it can occur at any age. The disease may be more severe in the few adults who develop this disorder. The clinical manifestations include a classic tetrad: rash, arthralgias, abdominal pain and renal disease. However it may affect almost every other bodily organ such us myocardium, lungs, ureter and nervous system. Pulmonary hemorrhage, a rare complication of Schönlein-Henoch purpura, has been found mainly in adolescents and adults, and it is associated with significant mortality. We present a case of 76-year-old men with Schönlein-Henoch purpura, pulmonary haemorrhage and severe renal involvement. Therapy with intravenous prednisolone resulted in resolution of the pulmonary lesions and renal failure.
authors.affiliation: Servicio de Nefrología, Hospital Universitario Son Dureta, Palma de Mallorca, Spain. fdelprada@senefro.org
authors.forename: F J
authors.initials: FJ
authors.lastname: de la Prada Alvarez
authors.forename: A M
authors.initials: AM
authors.lastname: Prados Gallardo
authors.forename: A
authors.initials: A
authors.lastname: Tugores Vázquez
authors.forename: M
authors.initials: M
authors.lastname: Uriol Rivera
authors.forename: C
authors.initials: C
authors.lastname: Saus Sarrias
authors.forename: A
authors.initials: A
authors.lastname: Morey Molina
mesh_terms: D000368:Aged; D006470:Hemorrhage / Q000209:etiology*; D006801:Humans; D011695:IgA Vasculitis / Q000150:complications*; D007674:Kidney Diseases / Q000209:etiology*; D008171:Lung Diseases / Q000209:etiology*; D008297:Male; D013577:Syndrome