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KMID : 0614620070490020114
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Korean Journal of Gastroenterology
2007 Volume.49 No. 2 p.114 ~ p.118
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A Case of Henoch-Sch nlein Purpura with Psoas Muscle Abscess and Full-blown Gastrointestinal Complications
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Lee Hee-Jung
Kim Sun-Moon
Yun Sung-Ro
Lee Tae-Hee
Im Euyi-Hyeog
Huh Kyu-Chan
Choi Young-Woo
Kang Young-Woo
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Abstract
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Henoch-Schonlein 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. (Korean J Gastroenterol 2007;49:114-118)
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KEYWORD
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Henoch-Schonlein purpura, Vasculitis, Psoas muscle abscess
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