• BMJ case reports · Aug 2013

    Case Reports

    Posterior reversible encephalopathy syndrome in a child with Henoch-Schonlein purpura.

    • Ali Kemal Sivrioglu, Mehmet Incedayi, Hakan Mutlu, and Cihan Meral.
    • Department of Radiology, Aksaz Military Hospital, Mugla, Turkey.
    • BMJ Case Rep. 2013 Aug 14; 2013.

    AbstractHenoch-Schönlein purpura (HSP) is a small vessel vasculitis that affects the gastrointestinal and central nervous systems and the kidneys. The disease primarily affects children, but may occur in elderly children with allergic purpura and also in adults. Central nervous system involvement may be the first sign; however, it is rarely encountered. Posterior reversible encephalopathy syndrome (PRES) is a clinical syndrome of encephalopathy, headache, visual disturbance and seizures. Its radiological signs can be observed in grey and white matter at the posterior region of the cerebral hemispheres. HSP should be considered in children with PRES in the presence of rash, joint and gastrointestinal symptoms. We reported a 5-year-old patient who developed acute renal failure and PRES by reason of HSP.

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