| Neurologic manifestations of Schoenlein-Henoch purpura: report of three cases and review of the literature. | |
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MedLine Citation:
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PMID: 2984637 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Three patients developed prominent neurologic symptoms and signs associated with Schoenlein-Henoch purpura. A 7 1/2-year-old boy was seen with status epilepticus after a 2-week history of generalized headaches, irritability, and intermittent colicky abdominal pain. A left hemiparesis and a left homonymous hemianopia with a right gaze preference that were present on initial examinations gradually resolved, but a mild left arm paresis persisted. Cutaneous, renal, and joint involvement followed initial CNS manifestations. The second patient, a 7-year-old girl, had a complex partial seizure with secondary generalization and a postictal hemiparesis seven days after presentation with classic signs of Schoenlein-Henoch purpura. Behavioral changes were noted during the acute phase of the illness. The third patient, a 13-year-old boy, developed signs of a left brachial plexopathy and transient weakness of his right leg during a complicated course of Schoenlein-Henoch purpura. Review of the world literature indicates that headaches and mental status changes are the most frequent neurologic complications of Schoenlein-Henoch purpura, followed by seizures, focal neurologic deficits, mononeuropathies, and polyradiculoneuropathies. The vasculitis of Schoenlein-Henoch purpura can involve the nervous system and may add significantly to the morbidity of the illness. |
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Authors:
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A L Belman; C R Leicher; S L Moshé; A P Mezey |
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Publication Detail:
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Type: Case Reports; Journal Article; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: Pediatrics Volume: 75 ISSN: 0031-4005 ISO Abbreviation: Pediatrics Publication Date: 1985 Apr |
Date Detail:
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Created Date: 1985-05-07 Completed Date: 1985-05-07 Revised Date: 2007-11-14 |
Medline Journal Info:
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Nlm Unique ID: 0376422 Medline TA: Pediatrics Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 687-92 Citation Subset: AIM; IM |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Behavior Brain Diseases / etiology Child Electroencephalography Emotions Female Headache / etiology Humans Male Nervous System Diseases / etiology*, pathology Paralysis / etiology Peripheral Nervous System Diseases / etiology Purpura, Schoenlein-Henoch / complications*, pathology Seizures / etiology Status Epilepticus / etiology |
| Grant Support | |
ID/Acronym/Agency:
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NS 00842/NS/NINDS NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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