Korean J Gastrointest Endosc.  2004 Oct;29(4):199-203.

A Case of Henoch-Schonlein Purpura Associated with Gastric Ulcer Bleeding

• Kim EJ
• Chung WC
• Lee KM
• Lee JS
• Chang UI
• Cho HM
• Yang JM
• Kim SK
• Nah JM
• Chung IS

Abstract

Henoch-Schonlein purpura is a systemic leukoclastic vasculitis that predominantly affects small vessels. This results in purpura, abdominal pain, arthralgia and occasional sometimes nephritis. Gastrointestinal involvement occurs in 50~75% of the patients. The small bowel and colon are relatively commonly affected, but the gastric involvement is rare. Endoscopic findings include mucosal edema, hemorrhagic changes, erosions and superficial ulcers. However, deep gastric ulcers are rarely observed in Henoch-Schonlein purpura and have not been reported yet. We report a patient with typical Henoch-Schonlein purpura who presented with melena due to bleeding from multiple deep gastric ulcers and got improved with administration of high dose corticosteroid.

Keyword

Henoch-Schonlein purpura; Gastric ulcer

MeSH Terms

Abdominal Pain
Arthralgia
Colon
Edema
Hemorrhage*
Humans
Melena
Nephritis
Purpura
Purpura, Schoenlein-Henoch*
Stomach Ulcer*
Ulcer
Vasculitis