A Case of Pulmonary Hemorrhage Associated with Henoch

DOI: 10.4046/trd.2009.67.3.226 ISSN: 1738-3536(Print)/2005-6184(Online) Tuberc Respir Dis 2009;67:226-228 CopyrightC2009. The Korean Academy of Tuberculosis and Respiratory Diseases. All rights reserved. A Case of Pulmonary Hemorrhage Associated with HenochSchonlein Purpura Departments of 1 Internal Medicine, 2 Chest Surgery, 3 Diagnostic Radiology, 4 Pathology, Ewha Womans University College of Medicine, Seoul, Korea, Ewha Womans University College of Medicine, Seoul, Korea Yun Su Sim, M.D., Moon Young Choi, M.D., Ji Young Oh, M.D., Jin Hwa Lee, M.D., Jin Wook Moon, M.D., Kyu Bock Choi, M.D., Jae Ho Ahn, M.D., Yoo Kyung Kim, M.D., Sun Hee Sung, M.D., Jung Hyun Chang, M.D. Henoch-Schonlein purpura (HSP) is an immunologically mediated systemic vasculitis of small blood vessels that primarily involves the skin, gastrointestinal tract, joints and kidneys. HSP is a common vasculitic syndrome in children who, in most cases, achieve complete recovery. Pulmonary hemorrhage is a very rare manifestation of HSP. The authors present a case of a 46-year-old male presenting with pulmonary hemorrhage and renal involvement and the diagnosis of HSP. The patient responded to prednisolone therapy.