title: Successful treatment of a rare complication of Henoch-Schönlein purpura in advanced age: pulmonary hemorrhage.
abstract: Henoch-Schönlein purpura (HSP) is a form of systemic vasculitis involving both arterioles and capillaries. HSP frequently is seen in children between the ages of 2 and 11 years, though adults with this disease are occasionally encountered. Although it primarily is a disease of early childhood, it can occur at any age. The clinical manifestations include a classic tetrad: rash, arthralgias, abdominal pain and renal disease. However, it may affect almost any other bodily tissue, such as myocardium, lungs, ureter and nervous system. Pulmonary hemorrhage is a rare complication of HSP, which largely has been observed in adolescents and adults. Pulmonary hemorrhage in HSP is associated with significant morbidity and mortality. We present the successful treatment of a 78-year-old woman with HSP complicated by pulmonary hemorrhage.
authors.affiliation: Department of Nephrology, Gaziantep University School of Medicine, Gaziantep, Turkey.
authors.forename: Ozlem
authors.initials: O
authors.lastname: Tiryaki
authors.forename: Hakan
authors.initials: H
authors.lastname: Buyukhatipoglu
authors.forename: Metin
authors.initials: M
authors.lastname: Karakok
authors.forename: Celalettin
authors.initials: C
authors.lastname: Usalan
mesh_terms: D000367:Age Factors; D000368:Aged; D005260:Female; D005938:Glucocorticoids / Q000008:administration & dosage; D006470:Hemorrhage / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*; D006801:Humans; D011695:IgA Vasculitis / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D007262:Infusions, Intravenous; D008171:Lung Diseases / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*; D008775:Methylprednisolone / Q000008:administration & dosage; D016896:Treatment Outcome
chemical_list: D005938:Glucocorticoids; D008775:Methylprednisolone