Clinical and Experimental Pediatrics

대한소아청소년과학회 (The Korean Pediatric Society)
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알레르기성 자반증에 병발한 대뇌 혈관염 1례

A Case of Cerebral Vasculitis in Henoch-Shönlein Purpura

  • 이수연 (전북대학교 의과대학 소아과학교실) ;
  • 정주미 (전북대학교 의과대학 소아과학교실) ;
  • 황동진 (전북대학교 의과대학 소아과학교실) ;
  • 은소희 (전북대학교 의과대학 소아과학교실) ;
  • 황평한 (전북대학교 의과대학 소아과학교실)
  • Lee, Soo Yeon (Department of Pediatrics, Schoool of Medicine, Chonbuk National University) ;
  • Choung, Ju Mi (Department of Pediatrics, Schoool of Medicine, Chonbuk National University) ;
  • Hwang, Dong Jin (Department of Pediatrics, Schoool of Medicine, Chonbuk National University) ;
  • Eun, So Hee (Department of Pediatrics, Schoool of Medicine, Chonbuk National University) ;
  • Hwang, Pyoung Han (Department of Pediatrics, Schoool of Medicine, Chonbuk National University)
  • 투고 : 2002.08.20
  • 심사 : 2002.09.24
  • 발행 : 2002.12.15
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초록

본 저자들은 경련과 의식저하를 보인 알레르기성 자반증 환아에서 신경학적 합병증으로 대뇌 동맥의 혈관염이 발생된 1례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

Henoch-Sh${\ddot{o}}$nlein Purpura(HSP) is an immuologically mediated systemic vasculitis of small blood vessels affecting predominantly the skin, gastrointestinal tract, joints, and kidneys. Clinical neurological manifestations such as headaches, behavioral changes, mental changes, seizures, and visual loss are described, but neurological complication are rare during the course of HSP. We experienced a case of an 8 year-old male with HSP who presented with seizures. Magnetic resonance imaging(MRI) showed multiple high signal intensity in both cortical and subcortical areas of frontal and parieto-occipital lobes and magnetic resonance(MR) angiogram showed stenosis of cerebral arteries, compatible with MRI and MR angiogram findings of cerebral vasculitis. We report this case with related literature.

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