Korean J Gastrointest Endosc.  1999 Oct;19(5):803-807.

Two Cases of Henoch-Sch nlein Purpura Complicated by Gastrointestinal Bleeding

• Kim IH
• Kim PS
• Chang JN
• Lee DH
• Choi W
• Kim HG
• Kim YS

Abstract

In the course of Henoch-Sch nlein purpura, diverse gastrointestinal manifestations are common. Two cases of Henoch-Sch nlein purpura complicated by upper and lower gastrointestinal bleeding is herein reported. For both patients, peculiar endoscopic pictures revealed, severe ulcerations and frank bleeding. A biopsy showed typical leukocytoclastic vasculitis which were the same as with the skin biopsy. The endoscopic finding was determined not to be pathognomonic, but instead characteristic of Henoch-Sch nlein purpura. Therefore, an endoscopy can be useful in the diagnosis of Henoch-Sch nlein purpura, especially for those patients without a typical skin rash.

Keyword

Henoch-Sch nlein purpura; Endoscopy; Gastrointestinal bleeding

MeSH Terms

Biopsy
Diagnosis
Endoscopy
Exanthema
Hemorrhage*
Humans
Purpura*
Skin
Ulcer
Vasculitis