Púrpura de Henoch-Schõnlein em adulto

A purpura de Henoch-Schonlein e uma vasculite de pequenos vasos, mais comum em criancas, com acometimento cutâneo, articular, gastrointestinal e renal. E raro o acometimento em adultos, conferindo nestes pior prognostico. Relatamos o caso de um paciente de 54 anos com purpura de Henoch-Schonlein com acometimento de pele, articulacao, abdominal e renal, sem resposta clinica com altas doses de prednisona, mantendo quadro de claudicacao abdominal e proteinuria nefrotica. Henoch-Schonlein purpura is a vasculitis of small vessels, more common in children with involvement cutaneous, articular, gastrointestinal and renal. It rarely affects adults, giving these worse prognosis. We report a patient aged 54 with Henoch-Schonlein purpura with involvement of skin, joint, abdominal and renal, without clinical response with high doses of prednisone keeping a lameness abdominal and nephrotic proteinuria.