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.
Scherbaum
W A
WA
Abteilung Innere Medizin I, Medizinische Klinik und Poliklinik, Universität Ulm.
Kaufmann
R
R
Vogel
U
U
Adler
G
G
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