Henoch-Schönlein purpura with ileitis terminalis.
Gastrointestinal manifestations of Henoch-Schönlein purpura commonly include abdominal pain and gastrointestinal bleeding as well as extraintestinal signs and symptoms. We report here on a 24-year-old man with gastrointestinal pain in whom the classical features of Henoch-Schönlein purpura appeared only 6 days after acute abdominal symptoms. At endoscopic investigation inflammation with aphthous lesions was detected at the terminal ileum, which is a common feature of Crohn's disease. The observation that vasculitic disorders such as Henoch-Schönlein purpura can present with inflammatory lesions at the terminal ileum which are indistinguishable from those of Crohn's disease underlines the potential vasculitic basis of the latter condition.
Abteilung Innere Medizin I, Medizinische Klinik und Poliklinik, Universität Ulm.
W A
WA
Scherbaum
R
R
Kaufmann
U
U
Vogel
G
G
Adler
D000328:Adult; D003424:Crohn Disease / Q000175:diagnosis / Q000473:pathology; D003937:Diagnosis, Differential; D006801:Humans; D011695:IgA Vasculitis / Q000150:complications* / Q000473:pathology; D007079:Ileitis / Q000150:complications* / Q000473:pathology; D007082:Ileum / Q000473:pathology; D008297:Male; D012867:Skin / Q000473:pathology