Abstract
A 38-year-old man with mild idiopathic thrombocytopenic purpura, who was endo-scopically revealed to have multiple hemorrhagic lesions in the gastric mucosa, was present-ed. Patient visited our clinic with a chief complaint of epigastric pain. Physical examina-tion revealed no signs of petechial hemorrhage in his skin and oral and nasal mucosae. Laboratory examination revealed a decrease in platelet, 48, 000, in the peripheral blood and an increase in megakaryocyte associated with an increase in platelet in the bone marrow. Endoscopic examination demonstrated marked petechial hemorrhages confined to the f undic region of the gastric mucosa. The hemorrhage was not seen in the antrum of the stomach, esophagus, and duodenum. In the course of the disease, temporal remission of the petechial hemorrhage and thrombocytopenia were noted despite any specific treatments were not given for idiopathic thrombocytopenic purpura.
