Protein Losing Enteropathy in a Patient with Henoch-Sch nlein Purpura: Successful Treatment with Steroid.
- Author:
Soo Eun HWANG
1
;
Young Ok KIM
;
Ji Yoen BAEK
;
Jung Pil SUH
;
Eun Il KIM
;
Sun Ae YOON
;
Chong Won PARK
;
Byung Kee BANG
Author Information
1. Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. cmckyo@cmc.cuk.ac.kr
- Publication Type:Case Report
- Keywords:
Henoch-Sch nlein purpura;
Protein losing enteropathy;
Hypoalbuminemia
- MeSH:
Abdominal Pain;
Biopsy;
Colon;
Colonoscopy;
Edema;
Female;
Glomerulonephritis;
Humans;
Hypoalbuminemia;
Kidney;
Lower Extremity;
Middle Aged;
Protein-Losing Enteropathies*;
Purpura*;
Radionuclide Imaging;
Serum Albumin;
Skin;
Technetium Tc 99m Aggregated Albumin;
Vasculitis
- From:Korean Journal of Nephrology
2000;19(6):1168-1172
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Although gastrointestinal manifestations are very common in patients with Henoch-Sch nlein purpura, protein losing enteropathy is a rare complication. We here report a case of protein losing enteropathy in a patient with Henoch-Sch nlein purpura. A 52-year old woman presented with lower abdominal pain, purpura and edema on lower extremity. Serum albumin was 1.9g/dL and 24 hour urine protein was 4.7g/ day. Skin and kidney biopsy revealed leukocytoclastic vasculitis and mesangial proliferative glomerulonephritis consistent with Henoch-Sch nlein purpura, respectively. Colonoscopy showed diffuse mucosal erosion at right colon. 99mTc-human serum albumin scintigraphy and fecal alpha-1-antitrypsin clearance confirmed protein losing enteropathy. The protein losing enteropathy improved with steroid treatment.
