title: Henoch-Schönlein purpura with posterior reversible encephalopathy syndrome.
abstract: We describe atypical Henoch-Schönlein purpura with posterior reversible encephalopathy syndrome in a normotensive 11-year-old girl. Her Henoch-Schönlein purpura was atypical because she initially presented with abdominal pain and vomiting and neurologic complications, rather than with the classic rash of Henoch-Schönlein Purpura. This previously healthy child was also unusual because she manifested the radiologic and clinical features of posterior reversible encephalopathy syndrome in the absence of hypertension induced by Henoch-Schönlein purpura. Her abnormal findings resolved with supportive therapy. We discuss the association of posterior reversible encephalopathy syndrome with Henoch-Schönlein purpura in three previously reported cases.
authors.affiliation: Department of Paediatric Neurology, Newcastle upon Tyne Hospitals National Health Service Foundation Trust, Newcastle upon Tyne, UK.
authors.forename: Madhuri
authors.initials: M
authors.lastname: Dasarathi
authors.forename: Daniel
authors.initials: D
authors.lastname: Birchall
authors.forename: Camille
authors.initials: C
authors.lastname: De San Lazaro
authors.forename: Laura Katherine
authors.initials: LK
authors.lastname: Fawcett
authors.forename: Janet Ann
authors.initials: JA
authors.lastname: Eyre
mesh_terms: D002648:Child; D004569:Electroencephalography; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D011695:IgA Vasculitis / Q000150:complications* / Q000175:diagnosis; D008279:Magnetic Resonance Imaging; D054038:Posterior Leukoencephalopathy Syndrome / Q000150:complications* / Q000175:diagnosis