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KMID : 0614620070500050324
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Korean Journal of Gastroenterology
2007 Volume.50 No. 5 p.324 ~ p.327
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A Case of Terminal Ileal Ulcer of Henoch-Schonlein Purpura Treated with High Dose Steroid
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Choi Won-Ho
Kim Nam-Hoon
Jung Eun-Sook
Yoon Sang-Goo
Park Jun-Sup
Bae Won-Ki
Kim Kyung-Ah
Lee June-Sung
Moon Young-Soo
Kim Han-Seong
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Abstract
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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 upto 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. (Korean J Gastroenterol 2007;50:324-327)
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KEYWORD
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Henoch-Schonlein purpura, Terminal ileal ulcer, High dose steroid
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