par Pourcelet, Aline 
;Georgery, Marine ;Vandergheynst, Frederic ;Hougardy, Jean-Michel ;De Breucker, Sandra
Référence Acta Clinica Belgica (English ed. Printed), 73, 4, page (305-306)
Publication Publié, 2018-08
;Georgery, Marine ;Vandergheynst, Frederic ;Hougardy, Jean-Michel ;De Breucker, Sandra Référence Acta Clinica Belgica (English ed. Printed), 73, 4, page (305-306)
Publication Publié, 2018-08
Article révisé par les pairs
| Résumé : | We describe here the case of a 73-year-old woman who presented a recurrent macular rash, acute respiratory distress, and hemoptysis. Chest CT scan showed diffuse ground-glass opacities that were suggestive of alveolar hemorrhage. With the development of severe acute kidney injury and nephrotic-range proteinuria (creatininemia 2.6 from 1.9 mg/dL with overt proteinuria 34 from 2.1 g/g creat), a kidney-lung syndrome was evoked. Skin biopsy revealed leukocytoclastic vasculitis with IgA deposits. Blood tests showed an increased IgA level. Those findings were consistent with a rare form of IgA vasculitis (formerly Henoch-Schönlein syndrome), the originality of the case lying in the occurrence of a kidney-lung syndrome in an elderly patient. |
