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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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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