[A case of Henoch-Schönlein purpura with psoas muscle abscess and full-blown gastrointestinal complications].
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.
Lee
Hee Jung
HJ
Department of Internal Medicine, Konyang University College of Medicine, Seo-Gu, Daejeon, Korea.
Kim
Sun Moon
SM
Yun
Sung Ro
SR
Lee
Tae Hee
TH
Im
Euyi Hyeog
EH
Huh
Kyu Chan
KC
Choi
Young Woo
YW
Kang
Young Woo
YW
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
D000893:Anti-Inflammatory Agents; D011239:Prednisolone