Volume 19, Number 1, 73-79, DOI: 10.1007/s10165-008-0121-5

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Japan College of Rheumatology

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

Kei Ohnuma, Osamu Hosono, Hiroshi Kawasaki, Noritada Yoshikawa, Tomoki Katayose, Naoki Oyaizu, Hirotoshi Tanaka and Chikao Morimoto

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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.

Keywords  Henoch-Schönlein purpura - Common peroneal nerve - Peripheral mononeuropathy - Leukocytoclastic vasculitis

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