A CASE OF IGA VASCULITIS IN AN ADULT (HENOCH-SCHöNLEIN) WITH INTUSSUSCEPTION

Abstract

A 41-year-old man was admitted to our hospital with abdominal pain. He had purpura He had purpura on his lower extremities and computer tomography demonstrated intussusception in the ileocecum. We endoscopically detected a submucosal hematoma in the cecum and suspected IgA vasculitis (HENOCH-SCHöNLEIN : HSP) with intussusception. We decided to administer conservative therapy because there was no ischemic lesion in the intestinal tract there was no ischemic lesion in the intestinal tract. Fortunately, the abdominal pain, hematoma and intussusception alleviated the abdominal pain, hematoma and intussusception alleviated with disappearance of purpura on his lower extremities under conservative therapy. After discharge, he was diagnosed with HSP by hematoxylin and eosin staining and IgA immunohistochemistry on skin biopsy. Endoscopy can be useful in the diagnosis of HSP, judgment of whether to perform surgery or conservative therapy, and disease progression.