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KMID : 0614619930250061326
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Korean Journal of Gastroenterology
1993 Volume.25 No. 6 p.1326 ~ p.1332
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Two Cases of Henoch-Scoenlein Purpura Invoiving GI Tract : Endoscopic Findings
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송영구
박상진/김원호/강진경/박인서/이상엽/박찬일
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Abstract
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Henoch-Schoenlein purpura (H-S purpura) is a systemic vasculitis of unknown cause that is characterized by palpable purpura (usually on the lower extremities and over the buttocks), arthralgias, gastrointestinal symptoms, and glomerulonephritis.
Diagnosis of H-S purpura is sometimes difficult, since GI symptoms precede the skin lesions in 10% of patients with H-S purpura. It has been suggested that endoscopic and radiologic studies may be helpful in the diagnosis of H-S purpura. But
there
seen
to be no endoscopic findings specific for H-S purpura. We performed GI endoscopy in two patients with H-S purpura. Upper GI endoscopy showed multiple conglomerated erosions only on the fold in 2nd portion of the duodenum and intervening mucosa
between
folds were not remarkable in both patients, and colonoscopy showed several erosions on terminal ileum in one patient.
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KEYWORD
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