[Shönlein-Henoch nephritis complicated with pulmonary renal syndrome].
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.
de la Prada Alvarez
F J
FJ
Servicio de Nefrología, Hospital Universitario Son Dureta, Palma de Mallorca, Spain. fdelprada@senefro.org
Prados Gallardo
A M
AM
Tugores Vázquez
A
A
Uriol Rivera
M
M
Saus Sarrias
C
C
Morey Molina
A
A
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