Henoch-Sch&; ouml; nlein Purpura With Posterior Reversible Encephalopathy Syndrome

• Published in: Pediatric neurology Vol. 46; no. 1; pp. 42 - 43
• Main Authors: Dasarathi, Madhuri, Birchall, Daniel, De, Camille, Fawcett, Laura Katherine, Eyre, Janet Ann
• Format: Journal Article
• Language: English
• Published: 01.01.2012
• ISSN: 0887-8994
• DOI: 10.1016/j.pediatrneurol.2011.10.006

We describe atypical Henoch-Schonlein purpura with posterior reversible encephalopathy syndrome in a normotensive 11-year-old girl. Her Henoch-Schonlein purpura was atypical because she initially presented with abdominal pain and vomiting and neurologic complications, rather than with the classic rash of Henoch-Schonlein Purpura. This previously healthy child was also unusual because she manifested the radiologic and clinical features of posterior reversible encephalopathy syndrome in the absence of hypertension induced by Henoch-Schonlein purpura. Her abnormal findings resolved with supportive therapy. We discuss the association of posterior reversible encephalopathy syndrome with Henoch-Schonlein purpura in three previously reported cases.