Korean J Gastrointest Endosc.  2003 Jan;26(1):35-38.

Henoch-Schonlein Purpura in a Disseminated Tuberculosis Patient

• Jun DH
• Kim BW
• Lee BI
• Park YB
• Lee GW
• Choi H
• Cho SH
• Chae HS
• Choi KY
• Cha SB
• Chung IS
• Park DH

Abstract

Henoch-Schonlein purpura is a systemic leukoclastic vasculitis and involves small vessels resulting in vasculitis. Major pathogenetic mechanism of Henoch-Schonlein purpura has not been still elucidated. Possible causes, however, may be associated with viral infection, bacterial infection, exposure to drugs and toxins, systemic diseases and carcinomas. Henoch-Schonlein purpura rarely develops in patients with tuberculosis, though there have been some reports on the development of this syndrome during antituberculous therapy. A 24-year-old man was admitted to our hospital because of diffuse abdominal pain, lower leg purpura and disseminated tuberculosis involving lung, duodenum, colon and lumbar spine and diagnosed as Henoch-Schonlein purpura with disseminated tuberculosis. Henoch-Schonlein purpura developed before antibuberculous therapy and antituberculous treatment was effective both in disseminated tuberculosis and Henoch-Schonlein purpura. We concluded that disseminated tuberculosis might be a cause of Henoch-Schonlein purpura.

Keyword

Henoch-Schonlein purpura; Disseminated tuberculosis

MeSH Terms

Abdominal Pain
Bacterial Infections
Colon
Duodenum
Humans
Leg
Lung
Purpura
Purpura, Schoenlein-Henoch*
Spine
Tuberculosis*
Vasculitis
Young Adult