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An adult case of Henoch-Schönlein purpura complicating common peroneal nerve mononeuropathy

  • Case Report
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Modern Rheumatology

Abstract

We present an adult patient with Henoch-Schönlein Purpura who developed mononeuropathy in the common peroneal nerve. Upon admission, the patient had palpable purpura in the arms and legs, polyarthralgia, abdominal pain, and leukocytoclastic vasculitis in the skin biopsy. These symptoms disappeared with 30 mg daily of oral prednisolone. One month later, after induction therapy, fever, livedo reticularis and peripheral mononeuropathy developed with hypocomplementemia and the patient was treated successfully with glucocorticoid pulse therapy.

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Acknowledgments

This work was supported by Grants-in-Aid from the Ministry of Education, Culture, Sports, Science and Technology, Japan (K.O. and C.M.) and the Ministry of Health, Labour and Welfare, Japan (C.M.). Support was also provided by the Program of Promotion of Fundamental Studies in Health Science of the National Institute of Biomedical Innovation (C.M.).

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Authors and Affiliations

  1. Department of Allergy and Rheumatology, Research Hospital, Institute of Medical Science, University of Tokyo, 4-6-1 Shirokanedai, Minato-ku, Tokyo, 108-8639, Japan

    Kei Ohnuma, Osamu Hosono, Hiroshi Kawasaki, Noritada Yoshikawa, Tomoki Katayose, Hirotoshi Tanaka & Chikao Morimoto

  2. Department of Laboratory Medicine, Research Hospital, Institute of Medical Science, University of Tokyo, 4-6-1 Shirokanedai, Minato-ku, Tokyo, 108-8639, Japan

    Naoki Oyaizu

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  1. Kei Ohnuma
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  2. Osamu Hosono
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  3. Hiroshi Kawasaki
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Correspondence to Chikao Morimoto.

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Ohnuma, K., Hosono, O., Kawasaki, H. et al. An adult case of Henoch-Schönlein purpura complicating common peroneal nerve mononeuropathy. Mod Rheumatol 19, 73–79 (2009). https://doi.org/10.1007/s10165-008-0121-5

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  • DOI: https://doi.org/10.1007/s10165-008-0121-5

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