Korean J Gastrointest Endosc.  2004 Oct;29(4):199-203.

A Case of Henoch-Schonlein Purpura Associated with Gastric Ulcer Bleeding

Affiliations
  • 1Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. jwchulkr@yahoo.co.kr

Abstract

Henoch-Schonlein purpura is a systemic leukoclastic vasculitis that predominantly affects small vessels. This results in purpura, abdominal pain, arthralgia and occasional sometimes nephritis. Gastrointestinal involvement occurs in 50~75% of the patients. The small bowel and colon are relatively commonly affected, but the gastric involvement is rare. Endoscopic findings include mucosal edema, hemorrhagic changes, erosions and superficial ulcers. However, deep gastric ulcers are rarely observed in Henoch-Schonlein purpura and have not been reported yet. We report a patient with typical Henoch-Schonlein purpura who presented with melena due to bleeding from multiple deep gastric ulcers and got improved with administration of high dose corticosteroid.

Keyword

Henoch-Schonlein purpura; Gastric ulcer

MeSH Terms

Abdominal Pain
Arthralgia
Colon
Edema
Hemorrhage*
Humans
Melena
Nephritis
Purpura
Purpura, Schoenlein-Henoch*
Stomach Ulcer*
Ulcer
Vasculitis
Full Text Links
  • KJGE
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr