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Case report
Life-threatening complications of Henoch-Schönlein purpura: diffuse alveolar haemorrhage, venous thrombosis and bowel ischaemia
  1. Kezreen Kaur Dhaliwal1,
  2. Nur Atikah Lile1,
  3. Chou Luan Tan2 and
  4. Chong Hong Lim2
  1. 1Department of Internal Medicine, Hospital Sultanah Bahiyah, Alor Setar, Malaysia
  2. 2Rheumatology Unit, Department of Internal Medicine, Hospital Sultanah Bahiyah, Alor Setar, Malaysia
  1. Correspondence to Dr Chong Hong Lim; chong_hong{at}


Henoch-Schönlein purpura (HSP) is a common systemic vasculitis occurring in children. Making a diagnosis of HSP is often straightforward, managing its complications can be difficult. Diffuse alveolar haemorrhage (DAH), bowel ischaemia and venous thrombosis are rare complications of this disorder. We present a case of a 15-year-old teenage girl presenting with typical purpuric rash of HSP, developed DAH, bowel ischaemia and venous thrombosis. She was successfully treated with pulse methylprednisolone, intravenous Ig and intravenous cyclophosphamide.

  • vasculitis
  • rheumatology
  • respiratory medicine
  • gastroenterology
  • haematology (incl blood transfusion)

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  • Contributors KKD: Writing manuscipt, obtained images, managing patient, proof read. NAL: Managing patient, proof read. CLT: Managing patient, proof read. CHL: Conceptual, writing manuscipt, obtained images, managing patient, proof read.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Parental/guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.