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Severe Mitral Regurgitation in a Child With Henoch-Schönlein Purpura and Pulmonary Hemorrhage.

Abstract Introduction: Henoch-Schönlein purpura (HSP) is the most common vasculitis of childhood. The classic triad of HSP consists of nonthrombocytopenic purpura, arthritis/arthralgia, and gastrointestinal complaints. Pulmonary hemorrhage and cardiac involvement are rare complications of HSP. Case Report: We report the case of a 10-year-old girl with HSP complicated by both severe mitral regurgitation and pulmonary hemorrhage. Discussion: HSP is typically a self-limited illness with an excellent prognosis in children. Pulmonary hemorrhage is a rare complication that increases morbidity and mortality; it generally indicates the presence of severe vasculitis. Cardiac involvement in HSP is extremely rare and associated with a poor prognosis. Conclusion: Cardiac involvement in HSP may be more common than believed. Because of the increased morbidity and mortality associated with HSP complicated by pulmonary hemorrhage and cardiac involvement, it is important for clinicians to be aware of these potential complications.
PMID
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Authors

Mayor MeshTerms
Keywords

Henoch-Schönlein purpura

carditis

leukocytoclastic

mitral regurgitation

pulmonary hemorrhage

Journal Title global pediatric health
Publication Year Start




PMID- 28894769
OWN - NLM
STAT- PubMed-not-MEDLINE
DA  - 20170912
LR  - 20170914
IS  - 2333-794X (Print)
IS  - 2333-794X (Linking)
VI  - 4
DP  - 2017
TI  - Severe Mitral Regurgitation in a Child With Henoch-Schonlein Purpura and
      Pulmonary Hemorrhage.
PG  - 2333794X17726940
LID - 10.1177/2333794X17726940 [doi]
AB  - Introduction: Henoch-Schonlein purpura (HSP) is the most common vasculitis of
      childhood. The classic triad of HSP consists of nonthrombocytopenic purpura,
      arthritis/arthralgia, and gastrointestinal complaints. Pulmonary hemorrhage and
      cardiac involvement are rare complications of HSP. Case Report: We report the
      case of a 10-year-old girl with HSP complicated by both severe mitral
      regurgitation and pulmonary hemorrhage. Discussion: HSP is typically a
      self-limited illness with an excellent prognosis in children. Pulmonary
      hemorrhage is a rare complication that increases morbidity and mortality; it
      generally indicates the presence of severe vasculitis. Cardiac involvement in HSP
      is extremely rare and associated with a poor prognosis. Conclusion: Cardiac
      involvement in HSP may be more common than believed. Because of the increased
      morbidity and mortality associated with HSP complicated by pulmonary hemorrhage
      and cardiac involvement, it is important for clinicians to be aware of these
      potential complications.
FAU - James, Cornelius A
AU  - James CA
AD  - Oakland University William Beaumont School of Medicine, Rochester, MI, USA.
AD  - Beaumont Children's Hospital, Royal Oak, MI, USA.
FAU - Gonzalez, Ismael
AU  - Gonzalez I
AD  - Oakland University William Beaumont School of Medicine, Rochester, MI, USA.
AD  - Beaumont Children's Hospital, Royal Oak, MI, USA.
FAU - Khandhar, Paras
AU  - Khandhar P
AD  - Oakland University William Beaumont School of Medicine, Rochester, MI, USA.
AD  - Beaumont Children's Hospital, Royal Oak, MI, USA.
FAU - Freij, Bishara J
AU  - Freij BJ
AD  - Oakland University William Beaumont School of Medicine, Rochester, MI, USA.
AD  - Beaumont Children's Hospital, Royal Oak, MI, USA.
LA  - eng
PT  - Journal Article
DEP - 20170901
PL  - United States
TA  - Glob Pediatr Health
JT  - Global pediatric health
JID - 101670224
PMC - PMC5582651
OTO - NOTNLM
OT  - Henoch-Schonlein purpura
OT  - carditis
OT  - leukocytoclastic
OT  - mitral regurgitation
OT  - pulmonary hemorrhage
COI - Declaration of Conflicting Interests: The author(s) declared no potential
      conflicts of interest with respect to the research, authorship, and/or
      publication of this article.
EDAT- 2017/09/13 06:00
MHDA- 2017/09/13 06:01
CRDT- 2017/09/13 06:00
PHST- 2017/05/05 [received]
PHST- 2017/07/17 [accepted]
AID - 10.1177/2333794X17726940 [doi]
AID - 10.1177_2333794X17726940 [pii]
PST - epublish
SO  - Glob Pediatr Health. 2017 Sep 1;4:2333794X17726940. doi:
      10.1177/2333794X17726940. eCollection 2017.