García-González OG, Ibarra-de la Torre A, Marhx-Bracho A, Pérez-Gómez JL

Language: Spanish
References: 18
Page: 69-72
PDF size: 123.33 Kb.

ABSTRACT

Henoch-Shonlein syndrome (HSS) and Kawasaki disease (KD), are the commonest systemic vasculitis in childhood. There are some cases reported of visceral hemorrhagic complications, cerebral hemorrhage is rare. We presented a girl patient of 4 years old, with symptoms since 2 years of age, characterized by fever, cardiac failure associated whit myocardial ischemia, aneurysmatic dilation of both coronary arteries, echocardiography made the diagnoses of KD. Six months later, the patient complains abdominal pain and distention. At 4 years of age complain headache, right hemicorporal paresis whit a CT scan, showed frontoparietal hemorrhage. The treatment required it was surgical remotion. The outcome improves until complete recovery. Hemorrhagic complications in KD and HSS are extremely rare and involve high morbidity and mortality. Often the treatment required is only medical and conservative measures for immunologic disease. Is rare to need surgical treatment for intracerebral hemorrhage.
There´s no reported cases of cerebral hemorrhage with both diagnosis (KD and HSS) why the authors present this case and literature review.

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