Korean J Gastroenterol.
2007 Nov;50(5):324-327.
A Case of Terminal Ileal Ulcer of Henoch-Sch?nlein Purpura Treated with High Dose Steroid
- Affiliations
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- 1Department of Internal Medicine, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea. nhkim@ilsanpaik.ac.kr
- 2Department of Pathology, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea.
Abstract
- Henoch-Schonlein purpura (H-S purpura) is a systemic small-vessel vasculitis involving skin, joint, gastrointestinal tract, and kidney. It is characterized by the classic tetrad of abdominal pain, arthralgia, typical rash, and renal involvement. All of these clinical findings can occur in any order and at any time over several days to weeks. Gastrointestinal manifestations such as abdominal pain, melena, or hematochezia occur in 45-85% and preceed skin lesions upto 40% in H-S purpura. However, endoscopically proven gastrointestinal lesion is rare because majority of involved sites are small intestine. We report a case of Henoch-Schonlein purpura with terminal ileal ulcer, healed after treatment with high dose steroid, proven by colonoscopy.
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