Korean J Hematol.  2002 Aug;37(3):212-217.

A Case of Henoch-Schonlein Purpura with Portal Vein and Mesenteric Vein Thrombosis

Affiliations
  • 1Department of Internal Medicine, College of Medicine, Hanyang University, Seoul, Korea. ahnmj@hanyang.ac.kr
  • 2Department of General Surgery, College of Medicine, Hanyang University, Seoul, Korea.
  • 3Department of Pathology, College of Medicine, Hanyang University, Seoul, Korea.

Abstract

Henoch-Schonlein purpura is an immunologically mediated systemic leukocytoclastic vasculitis of small vessels that is characterized by symmetric nontraumatic, nonthrombocytopenic, painless palpable purpura on the lower extremities and buttock, arthralgias on usually the knees and ankles, gastrointestinal symptoms and glomerulonephritis. Although the jejunum and ileum are most frequently affected, any portion of gastrointestinal tracts may be involved. Generally, gastrointestinal manifestations of Henoch-Schonlein purpura are the edematous wall of involved bowel, submucosal hemorrhage and erosion. We experienced a 56-year-old man with Henoch-Schonlein purpura who initially presented acute abdominal pain with portal vein and superior mesenteric vein thrombosis.

Keyword

Henoch-Schonlein purpura; Portal vein thrombosis; Mesenteric vein thrombosis

MeSH Terms

Abdominal Pain
Ankle
Arthralgia
Buttocks
Gastrointestinal Tract
Glomerulonephritis
Hemorrhage
Humans
Ileum
Jejunum
Knee
Lower Extremity
Mesenteric Veins*
Middle Aged
Portal Vein*
Purpura
Purpura, Schoenlein-Henoch*
Thrombosis*
Vasculitis
Venous Thrombosis
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