Korean J Gastroenterol.  2007 Feb;49(2):114-118.

A Case of Henoch-Schonlein Purpura with Psoas Muscle Abscess and Full-blown Gastrointestinal Complications

• Lee HJ
• Kim SM
• Yun SR
• Lee TH
• Im EH
• Huh KC
• Choi YW
• Kang YW

Abstract

Henoch-Schonlein purpura (HSP) is a vasculitis involving small vessels of skin, joints, gastrointestinal (GI) tract, and kidneys. The patients typically show palpable purpura with one or more characteristic manifestations including abdominal pain, hematuria or arthritis. HSP shows gastrointestinal symptoms in 50~85% of patients, and in 14~40% of patients GI symptoms precede purpuric rash which makes the diagnosis of HSP difficult. We present a case of Henoch-Schonlein purpura with GI bleeding, septic shock by ileal microperforation, small bowel obstruction as a result of ileal stricture and psoas muscle abscess.

Keyword

Henoch-Schonlein purpura; Vasculitis; Psoas muscle abscess

MeSH Terms

Abdominal Pain
Anti-Inflammatory Agents/therapeutic use
Colonoscopy
Gastrointestinal Diseases/*diagnosis/etiology/pathology
Gastrointestinal Hemorrhage/diagnosis
Humans
Male
Middle Aged
Prednisolone/therapeutic use
Psoas Abscess/etiology/*radiography
Purpura, Schoenlein-Henoch/*complications/*diagnosis/pathology
Tomography, X-Ray Computed