A Case of Henoch Schonlein Purpura with Gastrointestinal Bleeding Due to Jejunal Ulcer by Capsule Endoscopy.
- Author:
Yong Kang LEE
1
;
Tak Keun OH
;
Ara CHOI
;
Ji Hoon LEE
;
Mi Na KIM
;
Sung Pil HONG
Author Information
- Publication Type:Case Report
- Keywords: Capsule endoscopy; Gastrointestinal hemorrhage; Henoch-Schonlein pupura
- MeSH: Abdominal Pain; Arthralgia; Arthritis; Capsule Endoscopy; Child; Duodenitis; Female; Gastrointestinal Hemorrhage; Hematemesis; Hemorrhage; Humans; Melena; Purpura; Purpura, Schoenlein-Henoch; Renal Replacement Therapy; Sigmoidoscopy; Systemic Vasculitis; Ulcer
- From:Kosin Medical Journal 2012;27(1):45-49
- CountryRepublic of Korea
- Language:Korean
- Abstract: Henoch-Schonlein purpura (HSP) is the most common form of systemic vasculitis in children. Palpable purpura, arthralgia, arthritis, abdominal pain and renal involvement are the major clinical manifestations. Gastrointestinal involvement is related with abdominal pain and bleeding. We described a 71 year-old female experienced acute exacerbation of HSP presented with gastrointestinal bleeding. She was hospitalized for hematemesis and diagnosed duodenitis by esophagogastroduonenoscopy (EGD). Duodenitis was improved at EGD checked in 7 days. She still complained of melena and abdominal pain. There were no abnormal findings at sigmoidoscopy. Jejunal ulcer and purpura were diagnosed by capsule endoscopy. Symptoms were relieved after administration of systemic steroid. But she needed renal replacement therapy for 3 months. Small bowel ulcer diagnosed by capsule endoscopy in patients with HSP was rarely described in Korean literature. This case suggests that capsule endoscopy have a role in diagnosis of small bowel ulcer and its severity in HSP with gastrointestinal symptom.
