Korean J Pediatr.
2005 Feb;48(2):224-227.
A Case of Protein Losing Enteropathy Associated with Henoch-Schonlein Purpura
- Affiliations
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- 1Department of Pediatrics, St. Benedict Hospital, Busan, Korea. jykim9@korea.com
Abstract
- Henoch-Schonlein purpura(HSP) is an IgA mediated immune complex vasculitic disease characterized by non-thrombocytic purpura, arthritis, gastrointestinal manifestations, and glomerulonephritis. HSP related glomerulonephritis induces hypoproteinemia and edema in some cases. Protein-losing enteropathy is another rare but known manifestation of HSP leading to hypoproteinemia and edema. We report a 6-year-old girl with HSP who showed edema caused by intestinal protein loss, evidenced by elevated fecal alpha 1 antitrypsin clearance.