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Year : 2009  |  Volume : 57  |  Issue : 1  |  Page : 55--57

Remission of concomitant Henoch-Schöenlein purpura and Sydenham chorea after intravenous corticosteroids

Parkinson's Disease and Movement Disorders Unit, Hospital De Clínicas "José De San Martín", Buenos Aires, Argentina

Correspondence Address:
Carlos Zuniga
Av. Tepeyac 1287, Col. Chapalita, C.P. 45040, Zapopan, Mexico

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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0028-3886.48819

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We report a young girl who developed Henoch-Schoenlein purpura at the age of 11 years. Two weeks later she developed severe asymmetric choreic movements and behavioral disturbances. Sydenham´s chorea was diagnosed based on the laboratory evidence and she was given intravenous methylprednisolone for five consecutive days. Both behavioral and movement disorder rapidly resolved. She was asymptomatic at three years of follow-up. The rapid resolution of choreic movements and behavioral disturbances in our patients suggests, intravenous corticosteroids may be an option in the treatment of Sydenham's chorea, more so when the movements are disabling.


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Online since 20th March '04
Published by Wolters Kluwer - Medknow