Yaprak AKBULUT, Nesrin BÜYÜKTORTOP, Cihat ŞANLI, Erhan YUMUŞAK, Tevfik OĞUREL

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

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.

Anahtar Kelimeler:

Henoch-Schonlein purpura, oküler, subkonjonktival hemoraji, vaskülit

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

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,

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