title: [A case of terminal ileal ulcer of Henoch-Schönlein purpura treated with high dose steroid].
abstract: Henoch-Schonlein purpura (H-S purpura) is a systemic small-vessel vasculitis involving skin, joint, gastrointestinal tract, and kidney. It is characterized by the classic tetrad of abdominal pain, arthralgia, typical rash, and renal involvement. All of these clinical findings can occur in any order and at any time over several days to weeks. Gastrointestinal manifestations such as abdominal pain, melena, or hematochezia occur in 45-85% and preceed skin lesions up to 40% in H-S purpura. However, endoscopically proven gastrointestinal lesion is rare because majority of involved sites are small intestine. We report a case of Henoch-Schonlein purpura with terminal ileal ulcer, healed after treatment with high dose steroid, proven by colonoscopy.
authors.affiliation: Department of Internal Medicine, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea.
authors.forename: Won Ho
authors.initials: WH
authors.lastname: Choi
authors.forename: Nam Hoon
authors.initials: NH
authors.lastname: Kim
authors.forename: Eun Sook
authors.initials: ES
authors.lastname: Jung
authors.forename: Sang Goo
authors.initials: SG
authors.lastname: Yoon
authors.forename: Jun Sup
authors.initials: JS
authors.lastname: Park
authors.forename: Won Ki
authors.initials: WK
authors.lastname: Bae
authors.forename: Kyung Ah
authors.initials: KA
authors.lastname: Kim
authors.forename: June Sung
authors.initials: JS
authors.lastname: Lee
authors.forename: Young Soo
authors.initials: YS
authors.lastname: Moon
authors.forename: Han Seong
authors.initials: HS
authors.lastname: Kim
mesh_terms: D000328:Adult; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use*; D003113:Colonoscopy; D006801:Humans; D011695:IgA Vasculitis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D007077:Ileal Diseases / Q000188:drug therapy* / Q000209:etiology / Q000473:pathology; D007866:Leg / Q000473:pathology; D008297:Male; D011239:Prednisolone / Q000627:therapeutic use*; D014456:Ulcer / Q000188:drug therapy* / Q000209:etiology / Q000473:pathology
chemical_list: D000893:Anti-Inflammatory Agents; D011239:Prednisolone