Meltem AKÇABOY, Kibriya FİDAN, Yaşar KANDUR, Emel ISIYEL, Bahar BÜYÜKKARAGÖZ, Sevcan Azime BAKKALOĞLU EZGÜ, Necla BUYAN, Enver HASANOĞLU, Oğuz SÖYLEMEZOĞLU

Department of Pediatric Nephrology, Medical Faculty of Gazi University, Ankara, Turkey

Keywords: Central vasculitis; Henoch-Schönlein purpura; treatment

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.

Conflict of Interest

The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.

Financial Disclosure

The authors received no financial support for the research and/or authorship of this article.