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Pulmonary renal syndrome in Henoch-Schönlein purpura
  1. Katherine Clarke1,
  2. Elena Kurteva2,
  3. Neil J Sebire3,
  4. Muthana Al-Obaidi1
  1. 1Department of Paediatric Rheumatology, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK
  2. 2Department of Paediatric Gastroenterology, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK
  3. 3Department 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

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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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