Journal of Child

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Research Article


DOI :10.5222/j.child.2010.148   IUP :10.5222/j.child.2010.148    Full Text (PDF)

A Rheumatological Emergency in a Child: Case of Henoch-Schönlein Purpura (HSP) Presenting with Sudden Loss of Consciousness

Müferet Ergüven, Mehmet Malçok, Öznur Yılmaz Gondal

Henoch Schönlein vasculitis (HSV) is the most common leukocytoclastic vasculitis of childhood characterized by arthritis, arthralgia, abdominal pain, gastrointestinal bleeding and glomerulonephritis. Central nervous system (CNS) involvement is one of its rare complications.A six year- old girl with a diagnosis of HSP admitted with sudden loss of consciousness, convulsions was presented, because of clinical rheumatologic emergency. CNS involvement was found in MRI of the patient who developed HSP three months ago and treated with steroid and cyclophosphamide because of renal involvement. Immediately sequential high-dose intravenous steroid therapy was applied for three days, and the patient was discharged within the second week of hospitalization.  

Keywords: Henoch Schönlein Vasculitis, Central Nervous System Vasculitis
DOI :10.5222/j.child.2010.148   IUP :10.5222/j.child.2010.148    Full Text (PDF)

Çocukta Romatolojik Acil Bir Durum: Akut Bilinç Değişikliği ile Başvuran Bir Henoch Schönlein Vakası

Müferet Ergüven, Mehmet Malçok, Öznur Yılmaz Gondal

Henoch Schönlein Vasküliti (HSP) artrit, artralji, karın ağrısı, gastrointestinal kanama ve glomerülonefrit ile karakterize çocukluk çağında en sık görülen lökositoklastik vaskülittir. Merkezi Sinir Sistemi (MSS) tutulumu ender görülen komplikasyonlarından birisidir. Ani bilinç kaybı, konvülziyon ile başvuran altı yaşındaki HSP’li kız hastamız, acil romatolojik bir vaka olması nedeniyle sunuldu. Yapılan görüntüleme yöntemleri ile HSP’nin MSS tutulumunun geliştiği tespit edilen hasta, 3 ay önce HSP geçirmiş ve oluşan böbrek tutulumu nedeniyle steroid ve siklofosfamid tedavisi almıştı. Acilen 3 gün ardışık yüksek doz intravenöz steroid tedavisi uygulanan hasta, yatışının ikinci haftasında şifa ile taburcu edildi.  

Keywords: Henoch Schönlein Vasküliti, Merkezi Sinir Sistemi Vaskuliti, nörolojik tutulum

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References

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APA

Ergüven, M., Malçok, M., & Yılmaz Gondal, Ö. (2010). A Rheumatological Emergency in a Child: Case of Henoch-Schönlein Purpura (HSP) Presenting with Sudden Loss of Consciousness. Journal of Child, 10(3), 148-151. https://doi.org/10.5222/j.child.2010.148


AMA

Ergüven M, Malçok M, Yılmaz Gondal Ö. A Rheumatological Emergency in a Child: Case of Henoch-Schönlein Purpura (HSP) Presenting with Sudden Loss of Consciousness. Journal of Child. 2010;10(3):148-151. https://doi.org/10.5222/j.child.2010.148


ABNT

Ergüven, M.; Malçok, M.; Yılmaz Gondal, Ö. A Rheumatological Emergency in a Child: Case of Henoch-Schönlein Purpura (HSP) Presenting with Sudden Loss of Consciousness. Journal of Child, [Publisher Location], v. 10, n. 3, p. 148-151, 2010.


Chicago: Author-Date Style

Ergüven, Müferet, and Mehmet Malçok and Öznur Yılmaz Gondal. 2010. “A Rheumatological Emergency in a Child: Case of Henoch-Schönlein Purpura (HSP) Presenting with Sudden Loss of Consciousness.” Journal of Child 10, no. 3: 148-151. https://doi.org/10.5222/j.child.2010.148


Chicago: Humanities Style

Ergüven, Müferet, and Mehmet Malçok and Öznur Yılmaz Gondal. “A Rheumatological Emergency in a Child: Case of Henoch-Schönlein Purpura (HSP) Presenting with Sudden Loss of Consciousness.” Journal of Child 10, no. 3 (May. 2025): 148-151. https://doi.org/10.5222/j.child.2010.148


Harvard: Australian Style

Ergüven, M & Malçok, M & Yılmaz Gondal, Ö 2010, 'A Rheumatological Emergency in a Child: Case of Henoch-Schönlein Purpura (HSP) Presenting with Sudden Loss of Consciousness', Journal of Child, vol. 10, no. 3, pp. 148-151, viewed 24 May. 2025, https://doi.org/10.5222/j.child.2010.148


Harvard: Author-Date Style

Ergüven, M. and Malçok, M. and Yılmaz Gondal, Ö. (2010) ‘A Rheumatological Emergency in a Child: Case of Henoch-Schönlein Purpura (HSP) Presenting with Sudden Loss of Consciousness’, Journal of Child, 10(3), pp. 148-151. https://doi.org/10.5222/j.child.2010.148 (24 May. 2025).


MLA

Ergüven, Müferet, and Mehmet Malçok and Öznur Yılmaz Gondal. “A Rheumatological Emergency in a Child: Case of Henoch-Schönlein Purpura (HSP) Presenting with Sudden Loss of Consciousness.” Journal of Child, vol. 10, no. 3, 2010, pp. 148-151. [Database Container], https://doi.org/10.5222/j.child.2010.148


Vancouver

Ergüven M, Malçok M, Yılmaz Gondal Ö. A Rheumatological Emergency in a Child: Case of Henoch-Schönlein Purpura (HSP) Presenting with Sudden Loss of Consciousness. Journal of Child [Internet]. 24 May. 2025 [cited 24 May. 2025];10(3):148-151. Available from: https://doi.org/10.5222/j.child.2010.148 doi: 10.5222/j.child.2010.148


ISNAD

Ergüven, Müferet - Malçok, Mehmet - Yılmaz Gondal, Öznur. “A Rheumatological Emergency in a Child: Case of Henoch-Schönlein Purpura (HSP) Presenting with Sudden Loss of Consciousness”. Journal of Child 10/3 (May. 2025): 148-151. https://doi.org/10.5222/j.child.2010.148



TIMELINE


Published Online30.12.2010

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