1986 Volume 28 Issue 6 Pages 1289-1294_1
Twenty years old male with Schoenlein-Henoch purpura was reported. He was hospitalized because of abdominal pain, nausea and vomiting. During the admission purpura, microscopic hematuria and proteinuria as well as gastrointestinal lesions devel-oped. Diagnosis of IgA glomerulonephritis was made by kidney biopsy. Various gastrointestinal lesions were demonstrated. Multiple reddish elevated lesions with central coating were observed in the second portion of the duodenum by endoscopy, which almost disappeared 2 weeks later. X-ray studies of the small intestine revealed skipped lesions in the jejunum and the ileum. The one in the jejunum was a narrow segment of about 9 cm in the length with an irregular margin. These lesions disappeared by the X-ray study done four weeks later. On the 7th week of the admission, purpura in the leg and duodenal lesions reappeared but disappeared soon. As symptoms subsided he was discharg-ed on the 55th day of the admission. But the 3rd day after the discharge he was readmitted because of upper abdominal pain and purpura. An endoscopy revealed multiple ulcers like AGML in the antrum. Ranitidine was given and these lesions disappeared in six weeks.
