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Meningismus in IgA vasculitis (Henoch–Schönlein purpura)

Katarzyna Gmachowska, Katarzyna Makos, Agnieszka Brzozowska, Joanna Jerzyńska

Affiliation and address for correspondence
Pediatr Med Rodz 2020, 16 (4), p. 414–417
DOI: 10.15557/PiMR.2020.0074
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Abstract

IgA vasculitis is the most common acute systemic vasculitis in children. Typical symptoms include cutaneous purpura not associated with thrombocytopenia, acute-onset abdominal pain, arthritis, renal symptoms and, less commonly, neurological symptoms. The disease is usually mild and self-limiting. Although the aetiology of IgA vasculitis is unknown, autoimmune involvement is suspected. Symptomatic treatment is mainly used; therapeutic method that would reduce disease duration and prevent recurrence is unknown. Meningococcal sepsis should always be ruled out in a child with cutaneous purpura. We present a case of a 4-year-old boy with IgA vasculitis who developed symptoms of meningeal irritation.

Keywords
IgA vasculitis, meningismus, skin purpura, children

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