title: Henoch-schönlein purpura complicated by reversible posterior leukoencephalopathy syndrome.
abstract: We report a 7-year-old girl with Henoch-Schönlein purpura who developed hypertensive encephalopathy. She showed a sudden onset of neurological symptoms, including hypertension, convulsions, disturbance of consciousness, and cortical blindness. Reversible posterior leukoencephalopathy syndrome was diagnosed from the findings on magnetic resonance imaging. Reports of this syndrome in patients with Henoch-Schönlein purpura are very rare. However, if symptoms suggest central nervous system involvement, neuroimaging should be done for rapid diagnosis, and immediate treatment should be provided to avoid sequelae.
authors.affiliation: Department of Pediatrics and Child Health, Nihon University School of Medicine, Tokyo, Japan. tfuchi@med.nihon-u.ac.jp
authors.forename: Tatsuo
authors.initials: T
authors.lastname: Fuchigami
authors.forename: Yasuji
authors.initials: Y
authors.lastname: Inamo
authors.forename: Koji
authors.initials: K
authors.lastname: Hashimoto
authors.forename: Yayoi
authors.initials: Y
authors.lastname: Yoshino
authors.forename: Osamu
authors.initials: O
authors.lastname: Abe
authors.forename: Teruaki
authors.initials: T
authors.lastname: Ishikawa
authors.forename: Yukihiko
authors.initials: Y
authors.lastname: Fujita
authors.forename: Hideo
authors.initials: H
authors.lastname: Mugishima
mesh_terms: D002648:Child; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D011695:IgA Vasculitis / Q000150:complications* / Q000175:diagnosis; D008279:Magnetic Resonance Imaging; D054038:Posterior Leukoencephalopathy Syndrome / Q000175:diagnosis / Q000209:etiology*