When Henoch-Schönlein purpura is complicated by cerebral vasculitis, the clinical picture demands careful evaluation before any treatment is initiated. This protocol addresses that specific scenario.
This protocol covers patients with Henoch-Schönlein purpura presenting with cerebral vasculitis. Before starting treatment, cerebral vasculitis should be investigated according to the presenting manifestations to exclude other possible causes — including hemorrhage, infarcts, and infections.
Initial management centres on pulsed corticosteroid therapy, with a structured oral continuation and tapering phase. The complete sequencing, dosing guidance, and tapering strategy are detailed in the full protocol.