ESPN 50th Annual Meeting

ESPN 2017


 
HENOCH-SCHÖNLEİN PURPURA WITH POLYNEUROPATHY A CASE REPORT
CEMALIYE BASARAN 1 KADRIYE OZDEMIR 1 FATMA DEVRIM 1 AYCAN UNALP 1 ERKIN SERDAROGLU 1

1- DR. BEHCET UZ CHILDREN HOSPITAL, IZMIR - TURKEY
 
Introduction:

Henoch-Schönlein purpura (HSP) is the most common vasculitic disease of childhood. Palpable purpura on the skin, joint, gastrointestinal tract and renal involvement are common symptoms of HSP. Central or peripheral nervous system involvement is rare. In this study, we present a case applied to our clinic with stepping gait and polyneuropathy. 

Material and methods:

 Case report

Results:

An 8-year-old male patient first applied red-colored rashes on his legs, swellings and pain in ankle which starts 10 days before. He used only anti-inflammatory treatment. Five days after gait disturbance was occurred. On physical examination, both lower extremities were palpable purpura sharply raised especially more on extansor side of the extremities. In neurological examination, deep tendon reflexes were normal in lower extremities, muscular strength was decreased. His feet could not dorsofleksion and he had steppage gait. Other systems were normal. Laboratory investigation showed normal levels of B12, proteinuria (19 mg/m2/d) and microscopic hematuria. The lumbosacral and cranial MR was normal. Electromyography (EMG) had an affect on the peroneal nerve bilateraly. We started IV methylprednisolone (500 mg/day) treatment for 3 consecutive days and continued with oral prednisolone (2 mg/kg/day). Also he was startted to the physical therapy program. The walk of the patient was significantly improved rapidly.

Conclusions:

Neurological involvement in HSP can be seen very rare in childhood and good response can be obtained with steroid treatment.