A Case of Henoch-Schonlein Purpura Associated with Gastric Ulcer Bleeding.
- Author:
Eun Jung KIM
1
;
Woo Chul CHUNG
;
Kang Moon LEE
;
Jin Sun LEE
;
U Im CHANG
;
Hyun Mi CHO
;
Jin Mo YANG
;
Sung Kyoung KIM
;
Jong Myoung NAH
;
In Sik CHUNG
Author Information
1. Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. jwchulkr@yahoo.co.kr
- Publication Type:Case Report
- Keywords:
Henoch-Schonlein purpura;
Gastric ulcer
- MeSH:
Abdominal Pain;
Arthralgia;
Colon;
Edema;
Hemorrhage*;
Humans;
Melena;
Nephritis;
Purpura;
Purpura, Schoenlein-Henoch*;
Stomach Ulcer*;
Ulcer;
Vasculitis
- From:Korean Journal of Gastrointestinal Endoscopy
2004;29(4):199-203
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Henoch-Schonlein purpura is a systemic leukoclastic vasculitis that predominantly affects small vessels. This results in purpura, abdominal pain, arthralgia and occasional sometimes nephritis. Gastrointestinal involvement occurs in 50~75% of the patients. The small bowel and colon are relatively commonly affected, but the gastric involvement is rare. Endoscopic findings include mucosal edema, hemorrhagic changes, erosions and superficial ulcers. However, deep gastric ulcers are rarely observed in Henoch-Schonlein purpura and have not been reported yet. We report a patient with typical Henoch-Schonlein purpura who presented with melena due to bleeding from multiple deep gastric ulcers and got improved with administration of high dose corticosteroid.
