Cerebral Vasculitis in Henoch-Schönlein Purpura: A Case Report

• Published in: Archives of rheumatology Vol. 32; no. 3; pp. 264 - 267
• Main Authors: Akçaboy, Meltem, Fidan, Kibriya, Kandur, Yaşar, Isiyel, Emel, Büyükkaragöz, Bahar, Bakkaloğlu Ezgü, Sevcan Azime, Buyan, Necla, Hasanoğlu, Enver, Söylemezoğlu, Oğuz
• Format: Journal Article
• Language: English
• Published: Turkey Turkish League Against Rheumatism 01-09-2017; Prof Sebnem Ataman, President Turkish League Against Rheumatism
• Subjects: Aphasia; Authorship; Blood pressure; Case reports; Children; Children & youth; Corticosteroids; Cyclophosphamide; Gastrointestinal system; Headaches; Health aspects; Hypertension; Immunoglobulins; Laboratories; Medical imaging; Methylprednisolone; Nervous system; NMR; Nuclear magnetic resonance; Patients; Pediatrics; Purpura (Pathology); Remakes & sequels; Vasculitis; Henoch-Schönlein purpura; treatment; Central vasculitis
• ISSN: 2148-5046; 1309-0291; 1309-0283
• DOI: 10.5606/ArchRheumatol.2017.6225

Henoch-Schönlein purpura is a common form of systemic small vessel vasculitis in childhood. Although headache and behavioral changes have been described in a significant proportion of children with Henoch-Schönlein purpura, severe neurological complications are rare. In this article, we report a case of central vasculitis in a four-year-old boy who presented with hemiplegia and aphasia. The treatment options for cerebral vasculitis of Henoch-Schönlein purpura are numerous but controversial in pediatric patients. Our patient was successfully treated by pulse methylprednisolone and pulse cyclophosphamide. The patient was followed-up for four years without any sequel.