title: [A case of Henoch-Schönlein purpura with psoas muscle abscess and full-blown gastrointestinal complications].
abstract: Henoch-Schönlein purpura (HSP) is a vasculitis involving small vessels of skin, joints, gastrointestinal (GI) tract, and kidneys. The patients typically show palpable purpura with one or more characteristic manifestations including abdominal pain, hematuria or arthritis. HSP shows gastrointestinal symptoms in 50~85% of patients, and in 14~40% of patients GI symptoms precede purpuric rash which makes the diagnosis of HSP difficult. We present a case of Henoch-Schonlein purpura with GI bleeding, septic shock by ileal microperforation, small bowel obstruction as a result of ileal stricture and psoas muscle abscess.
authors.affiliation: Department of Internal Medicine, Konyang University College of Medicine, Seo-Gu, Daejeon, Korea.
authors.forename: Hee Jung
authors.initials: HJ
authors.lastname: Lee
authors.forename: Sun Moon
authors.initials: SM
authors.lastname: Kim
authors.forename: Sung Ro
authors.initials: SR
authors.lastname: Yun
authors.forename: Tae Hee
authors.initials: TH
authors.lastname: Lee
authors.forename: Euyi Hyeog
authors.initials: EH
authors.lastname: Im
authors.forename: Kyu Chan
authors.initials: KC
authors.lastname: Huh
authors.forename: Young Woo
authors.initials: YW
authors.lastname: Choi
authors.forename: Young Woo
authors.initials: YW
authors.lastname: Kang
mesh_terms: D015746:Abdominal Pain; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D003113:Colonoscopy; D005767:Gastrointestinal Diseases / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis; D006801:Humans; D011695:IgA Vasculitis / Q000150:complications* / Q000175:diagnosis* / Q000473:pathology; D008297:Male; D008875:Middle Aged; D011239:Prednisolone / Q000627:therapeutic use; D016659:Psoas Abscess / Q000000981:diagnostic imaging* / Q000209:etiology; D014057:Tomography, X-Ray Computed
chemical_list: D000893:Anti-Inflammatory Agents; D011239:Prednisolone