Subconjunctival hemorrhage in Henoch-Schonlein purpura: a case report and literature review

Year 2019, , 349 - 352, 01.09.2019

Yaprak Akbulut , Nesrin Büyüktortop , Cihat Şanlı Erhan Yumuşak , Tevfik Oğurel

https://doi.org/10.21601/ortadogutipdergisi.453297

Abstract

We report a 5-year-old boy who presented with diffuse abdominal pain, non-thrombocytopenic purpuric skin rash, and bilateral multiple foci of subconjunctival hemorrhage in the inferior bulbar conjunctiva. The patient was diagnosed clinically with Henoch-Schonlein purpura (HSP), according to EULAR/PRINTO/PRES criteria.HSP is a leukocytoclastic small vessel vasculitis. Ocular involvement is very rare. Episcleritis, keratitis, uveitis, cystoid macular edema and cotton wool spots, central retinal artery occlusion, anterior ischemic optic neuropathy and subperiosteal hematoma were reported previously. Here, we present a case of bilateral subconjunctival hemorrhage in a child with HSP for the first time in the English literature.

Keywords

Henoch-Schonlein purpura, ocular, subconjunctival hemorrhage, vasculitis

Henoch-Schonlein purpurada subkonjonktival hemoraji: olgu sunumu ve literatür taraması

Abstract

Bu
yazıda diffüz abdominal ağrı, trombositopenik olmayan purpurik deri döküntüsü
ve inferior bulbar konjunktivada bilateral multipl subkonjonktival hemoraji ile
başvuran 5 yaşında bir erkek hasta sunuldu. Hastaya EULAR / PRINTO / PRES
kriterlerine göre klinik olarak Henoch-Schonlein purpurası (HSP) tanısı konuldu.
HSP bir lökositoklastik küçük damar vaskülitidir. Oküler tutulum çok nadirdir.
Episklerit, keratit, üveit, kistoid maküla ödemi ve atılmış pamuk manzarası ,
santral retinal arter tıkanıklığı, ön iskemik optik nöropati ve subperiosteal
hematom daha önce bildirilmiştir. Burada, İngiliz literatüründe ilk kez HSP'li
bir çocukta bilateral subkonjonktival hemoraji olgusunu sunuyoruz.

Keywords

Henoch-Schonlein purpura, oküler, subkonjonktival hemoraji, vaskülit

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