Chylothorax in Henoch-Schonlein purpura: A case report and review of the literature

Bryan D. Cogar, Ted D. Groshong, Brian K. Turpin, Jesus R Guajardo

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Henoch-Schonlein purpura (HSP) is the most common acute vasculitis in the pediatric population, with an incidence of 10-14 per 100,000. The classic presentation of this disorder includes erythematous papules followed by palpable purpura in the lower extremities, trunk, and face, arthralgia or arthritis, abdominal pain, gastrointestinal bleeding, and nephritis. While renal abnormalities in HSP are common, the classic pulmonary manifestations, such as hemorrhage and pneumonitis, are thought to be infrequent. Subclinical pulmonary manifestations, including diffusion defects and radiographic anomalies, seem to be quite frequent in patients with HSP but are not commonly reported. Other respiratory manifestations include pleural effusion and chylothorax, but these are rarely mentioned in the literature. Chylothorax was only reported once in an adult patient with HSP in whom the mechanism of formation was demonstrated to be secondary to transdiaphragmatic passage of chylous fluid from the peritoneal cavity. Here we describe an 8-year-old girl with HSP, nephrotic syndrome, and chylothorax, and we report the results of a review of the literature regarding respiratory complications in HSR The present case is the first pediatric patient reported with HSP and chylothorax. The therapeutic measures utilized were effective in resolving her edema, ascites, and chylothorax, and we advocate the use of these measures as first-line therapy in future patients with similar complications from HSP.

Original languageEnglish (US)
Pages (from-to)563-567
Number of pages5
JournalPediatric Pulmonology
Volume39
Issue number6
DOIs
StatePublished - Jun 2005
Externally publishedYes

Fingerprint

Chylothorax
Schoenlein-Henoch Purpura
Pediatrics
Hemorrhage
Lung
Purpura
Nephritis
Peritoneal Cavity
Arthralgia
Nephrotic Syndrome
Pleural Effusion
Vasculitis
Ascites
Abdominal Pain
Arthritis
Lower Extremity
Edema
Pneumonia
Kidney
Incidence

Keywords

  • Chylothorax
  • Henoch-Schonlein purpura
  • Nephrotic syndrome
  • Pleural effusion
  • Pulmonary-renal syndrome
  • Vasculitis

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Pulmonary and Respiratory Medicine

Cite this

Cogar, B. D., Groshong, T. D., Turpin, B. K., & Guajardo, J. R. (2005). Chylothorax in Henoch-Schonlein purpura: A case report and review of the literature. Pediatric Pulmonology, 39(6), 563-567. https://doi.org/10.1002/ppul.20203

Chylothorax in Henoch-Schonlein purpura : A case report and review of the literature. / Cogar, Bryan D.; Groshong, Ted D.; Turpin, Brian K.; Guajardo, Jesus R.

In: Pediatric Pulmonology, Vol. 39, No. 6, 06.2005, p. 563-567.

Research output: Contribution to journalArticle

Cogar, BD, Groshong, TD, Turpin, BK & Guajardo, JR 2005, 'Chylothorax in Henoch-Schonlein purpura: A case report and review of the literature', Pediatric Pulmonology, vol. 39, no. 6, pp. 563-567. https://doi.org/10.1002/ppul.20203
Cogar, Bryan D. ; Groshong, Ted D. ; Turpin, Brian K. ; Guajardo, Jesus R. / Chylothorax in Henoch-Schonlein purpura : A case report and review of the literature. In: Pediatric Pulmonology. 2005 ; Vol. 39, No. 6. pp. 563-567.
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