Korean J Gastrointest Endosc.  2011 May;42(5):306-310.

A Case of Henoch-Schonlein Purpura Involving Colon Mimicking Colon Cancer

Affiliations
  • 1Department of Internal Medicine, Institute for Digestive Research, Digestive Disease Center, Soonchunhyang University College of Medicine, Seoul, Korea. jokim31@hanafos.com
  • 2Department of Pathology, Soonchunhyang University College of Medicine, Seoul, Korea.

Abstract

Henoch-Schonlein purpura is the most common form of systemic vasculitis in children but occurs rarely in adults. Henoch-Schonlein purpura has characteristic features of a purpuric skin rash, abdominal pain, arthralgia, and abnormal urinary findings. Gastrointestinal tract involvement is characterized by abdominal pain and gastrointestinal bleeding. Recently, we experienced a case of Henoch-Schonlein purpura with gastrointestinal involvement mimicking colon cancer in a 41-year-old female who complained of erythematous macules, arthralgia, and abdominal pain. The initial colonoscopic findings and computed tomographs failed to rule out colon cancer, but serial endoscopic examinations and clinical manifestations revealed colonic involvement of Henoch-Schonlein purpura.

Keyword

Henoch-Schonlein purpura; Colon cancer; Colonoscopy; Colon; Purpura

MeSH Terms

Abdominal Pain
Adult
Arthralgia
Child
Colon
Colonic Neoplasms
Colonoscopy
Exanthema
Female
Gastrointestinal Tract
Hemorrhage
Humans
Purpura
Purpura, Schoenlein-Henoch
Systemic Vasculitis
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