Tuberc Respir Dis.  1996 Jun;43(3):461-466. 10.4046/trd.1996.43.3.461.

A case of diffuse alveolar hemorrhage associatedwith Henoch-Schoenlein purpura

• Cho WK
• Lim CM
• Lee SD
• Koh YS
• Kim WS
• Yoo ES
• Kim DS
• Kim WD

• KMID: 2043527
• DOI: http://doi.org/10.4046/trd.1996.43.3.461

Abstract

Diffuse alveolar hemorrhage is a very rare manifestation in Henoch-Schoenlein purpura. Recently we experience a case of diffuse alveolar hemorrhage associated with Henoch-Schoenlein purpura which was diagnosed by typical clinical manifestation and renal biopsy. A 25 year old male was admitted due to hemoptysis and dyspnea. Chest X-ray, HRCT and BAL revealed diffuse alveolar hemorrhage. He also had a history of skin rash, polyarthralgia, and hematochezia with abdominal pain. Renal biopsy which was taken for the evaluation of microscopic hematuria showed IgA nephropathy. Under the diagnosis of Henoch-Schoenlein purpura, we treated him with solumedrol pulse therapy, plasma-pheresis and prednisolone with cytoxan. After then he showed marked improvement in clinical manifestation and was discharged with prednisolone and cytoxan.

Keyword

Henoch-Schoenlein purpura; Alveolar hemorrhage

MeSH Terms

Abdominal Pain
Arthralgia
Biopsy
Cyclophosphamide
Diagnosis
Dyspnea
Exanthema
Gastrointestinal Hemorrhage
Glomerulonephritis, IGA
Hematuria
Hemoptysis
Hemorrhage*
Humans
Male
Methylprednisolone Hemisuccinate
Prednisolone
Purpura, Schoenlein-Henoch*
Thorax
Cyclophosphamide
Methylprednisolone Hemisuccinate
Prednisolone