title: Microscopic polyangiitis presenting with hemorrhagic stroke.
abstract: Microscopic polyangiitis associated with antineutrophil cytoplasmic antibodies directed against myeloperoxidase rarely affects the central nervous system, and this is common in the presence of other organ involvement. The authors report the case of a 12-year-old girl who presented with multiple acute parieto-occipital hematomas as the only manifestation of presumed microscopic polyangiitis. Early treatment with immunosuppression resulted in complete recovery and a favorable outcome.
authors.affiliation: Unit of Pediatric Rheumatology, Department of Pediatrics, Hospital Sant Joan de Déu, Barcelona, Spain eiglesias@hsjdbcn.org.
authors.forename: Estíbaliz
authors.initials: E
authors.lastname: Iglesias
authors.affiliation: Department of Pediatric Rheumatology, University College London Institute of Child Health and Great Ormond Street Hospital for Children National Health Service Foundation Trust, London, United Kingdom.
authors.forename: Despina
authors.initials: D
authors.lastname: Eleftheriou
authors.affiliation: Department of Radiology, Great Ormond Street Hospital for Children National Health Service Foundation Trust, London, United Kingdom.
authors.forename: Kshitij
authors.initials: K
authors.lastname: Mankad
authors.affiliation: Department of Pediatric Neurology, Great Ormond Street Hospital for Children National Health Service Foundation Trust, London, United Kingdom.
authors.forename: Prab
authors.initials: P
authors.lastname: Prabhakar
authors.affiliation: Department of Pediatric Rheumatology, University College London Institute of Child Health and Great Ormond Street Hospital for Children National Health Service Foundation Trust, London, United Kingdom.
authors.forename: Paul A
authors.initials: PA
authors.lastname: Brogan
mesh_terms: D002648:Child; D005260:Female; D006470:Hemorrhage / Q000150:complications*; D006801:Humans; D018810:Magnetic Resonance Angiography; D008279:Magnetic Resonance Imaging; D055953:Microscopic Polyangiitis / Q000150:complications*; D020521:Stroke / Q000175:diagnosis* / Q000209:etiology*; D015898:Tomography Scanners, X-Ray Computed
keywords: hemorrhagic stroke; microscopic polyangiitis; myeloperoxidase antineutrophil cytoplasmic antibodies