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Annals of Indian Academy of Neurology
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CASE REPORT
Year : 2012  |  Volume : 15  |  Issue : 4  |  Page : 307-309

Stroke and skin rash: A rare case of Henoch-Schonlein purpura


Department of Medicine, Nilratan Sircar Medical College, Kolkata, West Bengal, India

Correspondence Address:
Atri Chatterjee
18/1E, D.P.P. Road, Kolkata, WB - 700 047
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-2327.104343

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Henoch-Schonlein purpura (HSP) is a small vessel vasculitis that is rare in adults. Here, we present a case of a woman who presented with palpable purpura, abdominal pain, arthritis and ischemic stroke. The patient met the diagnostic criteria of HSP. However, cerebrovascular disease is reported as an uncommon, yet fatal, complication of HSP. The patient responded to aggressive immunosuppression with pulses of corticosteroids and cyclophosphamide. In the absence of an established protocol of treatment of such neurologic emergency in HSP patients, this report demonstrates a successful outcome.


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