A case of diffuse alveolar hemorrhage associatedwith Henoch-Schoenlein purpura.

Cho, Won Kyoung; Lim, Chae Man; Lee, Sang Do; Koh, Youn Suck; Kim, Woo Sung; Yoo, Eun Sil; Kim, Dong Soon; Kim, Won Dong

doi:1996.43.3.461

Tuberc Respir Dis > Volume 43(3); 1996 > Article

Case Report

Tuberculosis and Respiratory Diseases 1996;43(3):461-466.
DOI: https://doi.org/10.4046/trd.1996.43.3.461 Published online June 1, 1996.

A case of diffuse alveolar hemorrhage associatedwith Henoch-Schoenlein purpura.

Won Kyoung Cho, Chae Man Lim, Sang Do Lee, Youn Suck Koh, Woo Sung Kim, Eun Sil Yoo, Dong Soon Kim, Won Dong Kim

Department of Internal Medicine, Pathology, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, Korea.

Abstract

Diffuse alveolar hemorrhage is a very rare manifestation in Henoch-Schoenlein purpura. Recently we experience a case of diffuse alveolar hemorrhage associated with Henoch-Schoenlein purpura which was diagnosed by typical clinical manifestation and renal biopsy. A 25 year old male was admitted due to hemoptysis and dyspnea. Chest X-ray, HRCT and BAL revealed diffuse alveolar hemorrhage. He also had a history of skin rash, polyarthralgia, and hematochezia with abdominal pain. Renal biopsy which was taken for the evaluation of microscopic hematuria showed IgA nephropathy. Under the diagnosis of Henoch-Schoenlein purpura, we treated him with solumedrol pulse therapy, plasma-pheresis and prednisolone with cytoxan. After then he showed marked improvement in clinical manifestation and was discharged with prednisolone and cytoxan.

Key Words: Henoch-Schoenlein purpura, Alveolar hemorrhage