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  • Title: [Pulmonary hemorrhage with respiratory insufficiency in Henoch- Schoenlein purpura].
    Author: Stienstra Y, Fijen JW, Tervaert JW, Dankbaar H, Zijlstra JG, van der Werf TS.
    Journal: Ned Tijdschr Geneeskd; 2000 Mar 25; 144(13):617-22. PubMed ID: 10761551.
    Abstract:
    A 20-year-old woman presented with abdominal pain, purpura on the extremities, and arthralgia. The diagnosis of Henoch-Schönlein purpura was made based on granular IgA deposits in the vessels in a skin biopsy. Three weeks after onset of these symptoms, she developed glomerulonephritis and diffuse alveolar haemorrhage; she developed respiratory failure and needed mechanical ventilation. She recovered upon treatment with corticosteroids. Diffuse alveolar bleeding has occasionally been reported in adults with Henoch-Schönlein purpura; this is the first report from the Netherlands.
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