Document Detail

Leukocytoclastic vasculitis with severe cardiac involvement in an infant: a case report.
MedLine Citation:
PMID:  18368289     Owner:  NLM     Status:  MEDLINE    
Severe visceral involvement in leukocytoclastic vasculitis is rare. We report here the case of a 2-month-old male infant with leukocytoclastic vasculitis who initially presented with fever and skin purpura. Endomyocarditis with mitral valve regurgitation, multiple hepatic infarction, and pulmonary hemorrhage developed later. The patient was successfully managed with an aggressive treatment of high frequency oscillation ventilation and extracorporeal membrane oxygenation together with corticosteroid and azathioprine therapy for 3 months. Valvuloplasty was also performed due to irreversible damage of the mitral valve, although long-term oral anticongestive medications were also needed.
Jui-Tsung Hung; Yao-Hsu Yang; Cheng-Hsiang Hsiao; Hsin-Hui Yu; Jyh-Hong Lee; Li-Chieh Wang; Bor-Luen Chiang
Related Documents :
23602169 - Left ventricular false tendons: anatomic, echocardiographic and pathophysiologic insights.
508249 - The value of echocardiography in assessing the severity of mitral stenosis.
3742779 - Long-term follow-up after mitral valve reconstruction: incidence of postoperative left ...
10155189 - The value of transesophageal echocardiography in predicting immediate and long-term out...
23978429 - Pseudoaneurysm after sutureless repair of left ventricular free wall rupture: sequentia...
21492809 - Lv mechanical dyssynchrony in heart failure with preserved ejection fraction complicati...
9005999 - Quasiperiodicity and chaos in cardiac fibrillation.
23782929 - Fatal ischemic stroke complicating acute multifocal placoid pigment epitheliopathy: his...
16339839 - The ppar-alpha activator fenofibrate fails to provide myocardial protection in ischemia...
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-03-27
Journal Detail:
Title:  Clinical rheumatology     Volume:  27     ISSN:  0770-3198     ISO Abbreviation:  Clin. Rheumatol.     Publication Date:  2008 Jul 
Date Detail:
Created Date:  2008-06-06     Completed Date:  2008-08-22     Revised Date:  2009-11-19    
Medline Journal Info:
Nlm Unique ID:  8211469     Medline TA:  Clin Rheumatol     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  945-7     Citation Subset:  IM    
Department of Pediatrics, National Taiwan University Hospital, No. 7 Chung San South Road, Taipei, Taiwan, Republic of China.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Adrenal Cortex Hormones / therapeutic use
Azathioprine / therapeutic use
Balloon Dilatation
Extracorporeal Membrane Oxygenation
High-Frequency Ventilation
Immunosuppressive Agents / therapeutic use
Mitral Valve Insufficiency / etiology*,  therapy
Myocarditis / etiology*
Vasculitis, Leukocytoclastic, Cutaneous / complications*,  drug therapy
Reg. No./Substance:
0/Adrenal Cortex Hormones; 0/Immunosuppressive Agents; 446-86-6/Azathioprine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Molecular analysis of the gene encoding a new chitinase from the marine psychrophilic bacterium Mori...
Next Document:  The effect of an anti-inflammatory pentapeptide produced by Entamoeba histolytica on gene expression...