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Miscellanea
Images in paediatrics
Pulmonary renal syndrome in Henoch-Schönlein purpura
  1. Katherine Clarke1,
  2. Elena Kurteva2,
  3. Neil J Sebire3,
  4. Muthana Al-Obaidi1
  1. 1 Department of Paediatric Rheumatology, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK
  2. 2 Department of Paediatric Gastroenterology, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK
  3. 3 Department of Paediatric Histopathology, Great Ormond Street Hospital for Children NHS Trust, London, UK
  1. Correspondence to Dr Katherine Clarke, Departmentof Paediatric Rheumatology, Great Ormond Street Hospital, London WC1N 3JH, UK; katherine.clarke2{at}nhs.net

http://dx.doi.org/10.1136/archdischild-2018-315030

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    A 5-year-old male patient presented with fever, abdominal pain and rectal bleeding. He had a 3-week history of rash and arthralgia which was diagnosed as Henoch-Schönlein purpura (HSP). On presentation, he had a widespread purpuric rash and swollen extremities. Necrotic lesions and pallor were noted (figure 1). He was anaemic. Urine dipstick detected proteinuria and erythrocytes. Renal biopsy showed evidence of diffuse proliferative glomerulonephritis with strong deposition of …

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    Footnotes

    • Contributors KC drafted the manuscript with advice from MAO. NJS analysed the histology slides and wrote the legends for the pathology images.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.