medigraphic.com
ISSN 1995-9494 (Electronic)
Revista del Hospital Clínico Quirúrgico "Arnaldo Milián Castro"

2015, Number 4

<< Back Next >>

Acta Med Cent 2015; 9 (4)

Púrpura de Schönlein-Henoch fulminante

Artiles MD

Language: Spanish
References: 9
Page: 102-111
PDF size: 248.71 Kb.


ABSTRACT

A female patient of 51 years old with personal pathological precedent of bronchial asthma, hypertension and ulcerative colitis and infection by chikungunya virus for a month. She incomes with dark pasty diarrhea with mucus and blood, she evolved unfavorably with flaccid paraplegia and recticularis livedo, which became extensive purple; then phlyctena and generalized edema. She remained hypotensive with electrolyte imbalance and impairment of consciousness, complementaries were performed, she was transfused and underwent to hemodialysis; she evolved to coma and death. The pathological findings showed an adult, fulminant and deadly form of anaphylactoid purpura or Henoch-Schönlein. Mesangial proliferation with fushinofílicos mesangial deposits werefound corresponding to immunoglobulin A with immunofluorescence, leukocytoclastic vasculitis and necrotizing vasculitis of small vessels. Purple of Schönlein-Henoch is a peculiar form of vasculitis that tends to spontaneous healing and occasionally may have a fatal course or proceed to a chronic nephritis.


REFERENCES

  1. Ordoñez NG, Rosai J. Urinary tract: kidney, renal pelvis and ureter; bladder. En: Rosai J. Rosai and Ackerman's Surgical Pathology. 10th ed. New York: Elsevier; 2011. p. 1102-1206.

  2. Kumar V, Abbas AK, Aster JC. Blood vessels. En: Robbins basic pathology. 9th ed. Philadelphia: Elsevier; 2013. p. 327-363.

  3. Chen P, Zhu XB, Ren P, Wang YB, Sun RP, Wei DE. Henoch Schonlein Purpura in children: clinical analysis of 120 cases. AJOL [Internet]. 2013 [citado 15 Feb 2014];13(1):[aprox. 3 p.]. Disponible en: http://www.ajol.info/index.php/ahs/article/view/87280

  4. WebMD, LLC. Henoch-Schonlein Purpura (HSP) [Internet]. ©2005-2015 [citado 15 Feb 2014]. Disponible en: http://www.webmd.com/skin-problems-and-treatments/henoch-schonlein-purpura-causes-symptoms-treatment

  5. Mao S, Xuan X, Sha Y, Zhao S, Zhu C, Zhang A, et al. Clinico-pathological association of Henoch-Schoenlein purpura nephritis and IgA nephropathy in children. Int J Clin Exp Pathol [Internet]. 2015 Mar 1 [citado 15 Abr 2015];8(3):6. Sotoodian B, Robert J, Mahmood MN, Yacyshyn E. IgA cutaneous purpura post-renal transplantation in a patient with long-standing IgA nephropathy: case report and literature review. J Cutan Med Surg [Internet]. 2015 Sep-Oct [citado 19 Nov 2015];19(5):498-503. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/25876643

  6. Schonlein-Henoch Púrpura (SHP) [Internet]. ©1995-2015 [citado 15 Feb 2015]. Disponible en: http://kidshealth.org/parent/en_espanol/medicos/hsp_esp.html

  7. Scheinfeld NS, Langman CB. Henoch-Schonlein Purpura [Internet]. ©1995-2015 [actualizado 28 Sept 2015; citado 15 Nov 2015]. Disponible en: http://emedicine.medscape.com/article/984105-overview#a1

  8. Paydary K, Emamzadeh Fard S, Mahboubi AH, Ziaee V, Moradinejad MH, et al. Penile skin involvement as the first presentation of Henoch-Schonlein Purpura. Report of nine cases and review of literature. Iran J Pediatr [Internet]. 2015 Agos [citado 15 Oct 2015];25(4):e2177. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/26396696

  9. 10.Sheth K, Bockorny M, Elaba Z, Scola C. Adult onset Henoch-Schönlein Purpura: case report and review of literature. Conn Med [Internet]. 2015 Feb [citado 15 Abr 2015];79(2):81-5. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/26244205




2020     |     www.medigraphic.com