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Open Access Highly Accessed Case report

Schönlein-Henoch purpura during pregnancy with successful outcome for mother and newborn

Robert Feldmann1*, Walter Rieger2, Paul G Sator1, Friedrich Gschnait1 and Friedrich Breier1

Author Affiliations

1 Department of Dermatology, Lainz Municipal Hospital, Wolkersbergenstraβe 1, A-1130 Vienna, Austria

2 Department of Gynaecology and Obstetrics, Lainz Municipal Hospital, Wolkersbergenstraβ e 1, A-1130 Vienna, Austria

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BMC Dermatology 2002, 2:1  doi:10.1186/1471-5945-2-1

Published: 30 January 2002

Abstract

Background

Schönlein-Henoch purpura is a systemic vasculitis that affects vessels of a small caliber and rarely reported in the literature.

Case presentation

We report on a 35-year-old woman who developed palpable purpura with necrotizing cutaneous lesions on the lower limbs at 27 weeks of gestation. She also complained of epigastric pain and arthralgias. Histologic examination of a skin biopsy showed leukocytoclastic vasculitis with intravascular fibrin thrombi. The direct immunofluorescence analysis evidenced vascular deposits of IgA and C3 in the upper and mid-dermis. These findings were consistent with Schönlein-Henoch purpura. There was no evidence of renal involvement or placental dysfunction. The patient was treated with low-dose oral corticosteroids and a healthy infant was delivered by cesarean section. Examination of the placenta and the navel string disclosed no signs of vasculitis or infarction.

Conclusion

Schönlein-Henoch purpura is rarely reported in pregnancy. Treatment with orally administred corticosteroids may lead to a beneficial outcome for mother and newborn.