[Cerebral ischemia and severe digestive manifestations during rheumatoid purpura]

A 14-year-old male patient with Schönlein-Henoch vasculitis developed neurologic manifestations including cortical blindness, seizures and CT scan evidence of occipital ischemia. These manifestations occurred concomitantly with severe bleeding from a duodenal ulcer seen at endoscopy. Corticosteroid therapy was initially rejected then finally given because of the severity of neurologic involvement. Both neurologic and digestive manifestations improved rapidly. A control digestive endoscopy performed 30 days later was normal.