A rare manifestation of Henoch–Schoenlein purpura: haemoptysis secondary to pulmonary involvement–a case report

Kılbaş G., Ayduran S., Tığrak S. N., YÜKSEL S., Türkuçar S.

Paediatrics and International Child Health, cilt.45, sa.3-4, ss.65-68, 2025 (SCI-Expanded, Scopus) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 45 Sayı: 3-4
  • Basım Tarihi: 2025
  • Doi Numarası: 10.1080/20469047.2025.2550046
  • Dergi Adı: Paediatrics and International Child Health
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, PASCAL, BIOSIS, CAB Abstracts, MEDLINE, Veterinary Science Database
  • Sayfa Sayıları: ss.65-68
  • Anahtar Kelimeler: Childhood vasculitis, Henoch–Schoenlein purpura, pulmonary involvement
  • Çanakkale Onsekiz Mart Üniversitesi Adresli: Evet

Özet

Henoch—Schoenlein purpura (HSP) in children is the most prevalent form of vasculitis. While the lungs are recognised as potential target organs in several vasculitides during childhood, pulmonary involvement in HSP is exceptionally rare. A 5-year-old girl presented with haemoptysis during week 3 of HSP vasculitis. Radiological findings from a pulmonary computed tomography scan confirmed alveolar haemorrhage. The patient was administered pulse corticosteroid therapy at a dose of 30 mg/kg/day for 3 days, followed by a regimen of 2 mg/kg/day and azathioprine. During follow-up, the corticosteroid treatment was gradually tapered, and the patient remains under azathioprine monotherapy without any complications. Pulmonary involvement in HSP can be life-threatening; thorough systemic examination is therefore imperative. Further evaluation should be considered necessary when assessing patients with HSP. Close monitoring for respiratory symptoms is essential in the later stages of the disease.