Gastrointestinal manifestations of Henoch-Schonlein purpura.
10.3346/jkms.1990.5.2.101
- Author:
Sung Hye PARK
1
;
Chong Jai KIM
;
Je G CHI
;
Jeong Kee SEO
;
Kwi Won PARK
Author Information
1. Department of Pathology, Seoul National University Children's Hospital, Korea.
- Publication Type:Case Reports
- Keywords:
Henoch-Schonlein purpura;
Leukocytoclastic vasculitis;
Intestine;
Hemorrhage
- MeSH:
Child, Preschool;
Edema/complications/pathology/surgery;
Gastrointestinal Diseases/*etiology/pathology/surgery;
Humans;
Leukocytosis/complications/pathology/surgery;
Male;
Pain/complications;
Purpura, Schoenlein-Henoch/*complications/pathology/surgery
- From:Journal of Korean Medical Science
1990;5(2):101-104
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report a case of the intestinal lesion in Henoch-Schonlein purpura, presented with an acute abdomen in a 4 year old boy. Five days after sudden colicky abdominal pain, skin purpura and painful joint swelling developed. These manifestations were associated with abdominal distension, hematemesis, hematochezia and hematuria. Exploratory laparotomy revealed a marked bowel distension with edema and patchy dark reddish discoloration of the jejunum and ileum. These patchy areas showed transmural hemorrhage and necrosis associated with characteristic leukocytoclastic vasculitis in and around the hemorrhagic lesions. These vasculitis was thought to be related to Henoch-Schonlein purpura.
