A Case of Henoch-Schonlein Purpura with Psoas Muscle Abscess and Full-blown Gastrointestinal Complications.
- Author:
Hee Jung LEE
1
;
Sun Moon KIM
;
Sung Ro YUN
;
Tae Hee LEE
;
Euyi Hyeog IM
;
Kyu Chan HUH
;
Young Woo CHOI
;
Young Woo KANG
Author Information
1. Department of Internal Medicine, Konyang University College of Medicine, Daejeon, Korea. islkim@hanmail.net
- Publication Type:Case Report ; English Abstract
- Keywords:
Henoch-Schonlein purpura;
Vasculitis;
Psoas muscle abscess
- MeSH:
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
- From:The Korean Journal of Gastroenterology
2007;49(2):114-118
- CountryRepublic of Korea
- Language:English
-
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.
