Akçaboy Meltem, Fidan Kibriya, Kandur Yaşar, Isiyel Emel, Büyükkaragöz Bahar, Bakkaloğlu Ezgü Sevcan Azime, Buyan Necla, Hasanoğlu Enver, Söylemezoğlu Oğuz
Department of Pediatric Nephrology, Medical Faculty of Gazi University, Ankara, Turkey.
Arch Rheumatol. 2017 Mar 24;32(3):264-267. doi: 10.5606/ArchRheumatol.2017.6225. eCollection 2017 Sep.
Henoch-Schönlein purpura is a common form of systemic small vessel vasculitis in childhood. Although headache and behavioral changes have been described in a significant proportion of children with Henoch-Schönlein purpura, severe neurological complications are rare. In this article, we report a case of central vasculitis in a four-year-old boy who presented with hemiplegia and aphasia. The treatment options for cerebral vasculitis of Henoch-Schönlein purpura are numerous but controversial in pediatric patients. Our patient was successfully treated by pulse methylprednisolone and pulse cyclophosphamide. The patient was followed-up for four years without any sequel.
过敏性紫癜是儿童期常见的系统性小血管炎形式。虽然相当一部分过敏性紫癜患儿有头痛和行为改变的描述，但严重的神经系统并发症很少见。在本文中，我们报告了一例4岁男孩的中枢性血管炎病例，该患儿表现为偏瘫和失语。过敏性紫癜性脑血管炎的治疗选择众多，但在儿科患者中存在争议。我们的患者通过静脉注射甲泼尼龙和静脉注射环磷酰胺成功治愈。该患者随访4年无任何后遗症。
