UNCOMMON MULTISYSTEMIC INVOLVEMENT IN A CASE OF HENOCH-SCHONLEIN PURPURA

A case of Henoch-Schonlein purpura (HSP) characterized by several unus ual complications is reported. A 10-year-old boy was hospitalized with acute abdomen and developed purpura on the lower extremities after 4 days of hospitalization. He had protein-losing enteropathy. diagnosed by an elevated fecal a-l-antitrypsin clearance. The colicky abdominal pain and protein-losing enteropathy subsided after methylprednisolone pulse therapy was administered. He had left hydronephrosis and gall-bl adder abnormalities detected by ultrasonography, and purpura nephritis . However, after improvement of these abnormalities, he showed steroid -induced epidural lipomatosis, detected by magnetic resonance imaging, which resolved with steroid reduction. Ultrasonography and magnetic r esonance imaging were useful for detecting these uncommon multisystemi c involvements in HSP.