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Cerebral Vasculitis in Henoch-Schönlein Purpura: A Case Report
Meltem Akçaboy1, Kibriya Fidan1, Yaşar Kandur1
1Department of Pediatric Nephrology, Medical Faculty of Gazi University, Ankara, Turkey.
Abstract:
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.
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