Two Cases of Henoch-Sch nlein Purpura Complicated by Gastrointestinal Bleeding.
- Author:
In Han KIM
1
;
Pum Soo KIM
;
Jae Nam CHANG
;
Don Haeng LEE
;
Won CHOI
;
Hyung Gil KIM
;
Young Soo KIM
Author Information
1. Department of Internal Medicine, Inha University College of Medicine, Inchon, Korea.
- Publication Type:Case Report
- Keywords:
Henoch-Sch nlein purpura;
Endoscopy;
Gastrointestinal bleeding
- MeSH:
Biopsy;
Diagnosis;
Endoscopy;
Exanthema;
Hemorrhage*;
Humans;
Purpura*;
Skin;
Ulcer;
Vasculitis
- From:Korean Journal of Gastrointestinal Endoscopy
1999;19(5):803-807
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
In the course of Henoch-Sch nlein purpura, diverse gastrointestinal manifestations are common. Two cases of Henoch-Sch nlein purpura complicated by upper and lower gastrointestinal bleeding is herein reported. For both patients, peculiar endoscopic pictures revealed, severe ulcerations and frank bleeding. A biopsy showed typical leukocytoclastic vasculitis which were the same as with the skin biopsy. The endoscopic finding was determined not to be pathognomonic, but instead characteristic of Henoch-Sch nlein purpura. Therefore, an endoscopy can be useful in the diagnosis of Henoch-Sch nlein purpura, especially for those patients without a typical skin rash.