[A case of terminal ileal ulcer of Henoch-Schönlein purpura treated with high dose steroid].
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.
Choi
Won Ho
WH
Department of Internal Medicine, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea.
Kim
Nam Hoon
NH
Jung
Eun Sook
ES
Yoon
Sang Goo
SG
Park
Jun Sup
JS
Bae
Won Ki
WK
Kim
Kyung Ah
KA
Lee
June Sung
JS
Moon
Young Soo
YS
Kim
Han Seong
HS
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
D000893:Anti-Inflammatory Agents; D011239:Prednisolone