Korean J Dermatol.  2003 Aug;41(8):1085-1087.

A Case of Henoch-Schonlein Purpura Complicated by Hemorrhagic Ascites and Multiple Upper Gastrointestinal Bleeding

• Choe HC
• Kim JE
• Lee JD
• Cho SH

Abstract

Henoch-Schonlein purpura is a common form of vasculitis primarily involving the skin, the gastrointestinal tract, the joints, the kidneys, and the nervous system. During the course of Henoch-Schonlein purpura diverse gastrointestinal manifestations can occurr, but there were only few reports on the gastrointestinal endoscopic findings, hemorrhagic ascites, and Helicobacter pylori infection as complications. We report herein a 75-year-old man with Henoch-Schonlein purpura complicated by hemorrhagic ascites, multiple upper gastrointestinal bleeding associated with gastric Helicobacter pylori infection. The purpuric rashes, the gastrointestinal hemorrhage, and the hemorrhagic ascites were improved after systemic glucocorticoid and Helicobacter pylori irradication with amoxycillin treatment.

Keyword

Henoch-Schonlein purpura; Hemorrhagic ascities; Gastrointestinal bleeding

MeSH Terms

Aged
Amoxicillin
Ascites*
Exanthema
Gastrointestinal Hemorrhage
Gastrointestinal Tract
Helicobacter pylori
Hemorrhage*
Humans
Joints
Kidney
Nervous System
Purpura, Schoenlein-Henoch*
Skin
Vasculitis
Amoxicillin