• Users Online: 53
  • Print this page
  • Email this page
Year : 2021  |  Volume : 1  |  Issue : 1  |  Page : 10-13

Cerebral vasculitis in a case of henoch–Schönlein purpura: An unusual presentation

1 Department of Pediatrics, University College of Medical Sciences and Associated Guru Teg Bahadur Hospital, Delhi, India
2 Department of Pathology, University College of Medical Sciences and Associated Guru Teg Bahadur Hospital, Delhi, India

Correspondence Address:
Dr. Vikram Bhaskar
Room No. 602, Department of Pediatrics, MCH 6th Floor, University College of Medical Sciences and associated Guru Teg Bahadur Hospital, Delhi
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ipcares.ipcares_10_21

Rights and Permissions

Background: Henoch–Schönlein purpura (HSP) is the most common vasculitis seen in children that rarely involve central nervous system (CNS) (0.65%–8%). Patients with CNS vasculitis may present with symptoms such as headache, seizures, focal neurological deficit, or behavior abnormalities. We describe a case of HSP where the patient presented with developmental delay along with skin rash and renal involvement. Clinical Description: A 15-month-old boy presented with a history of developmental delay and skin rashes for the past 2 months. There was no significant antenatal or birth history. At the age of 15 months, the child could not sit without support, could not transfer objects from one hand to other, could only speak bisyllables, and could not wave “bye-bye.” On examination, the patient had normal vitals with equal volume peripheral pulses and normal blood pressure in all four limbs. Urine examination showed microscopic hematuria, and kidney functions were mildly deranged. Skin biopsy showed immunoglobulin A vasculitis. Magnetic resonance imaging brain was done which revealed multifocal areas of altered signal intensity in periventricular deep white matter in bilateral frontal and parieto-occipital lobes, appearing hyperintense on T2-weighted and fluid-attenuated inversion recovery sequences, showing evidence of diffusion restriction, suggestive of areas of acute ischemia. The findings were consistent with manifestations of CNS vasculitis. Management: The patient was managed conservatively and advised physiotherapy and follow-up for developmental delay. Conclusion: HSP can rarely involve CNS, however, developmental delay in HSP has never been reported before.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded53    
    Comments [Add]    

Recommend this journal