1988 Volume 30 Issue 6 Pages 1250-1254_1
A 75-year-old woman admitted to our hospital complainting purpura at lower extremities and arthralgia. The diagnosis of S-H purpura was confirmed by biopsies of the skin and the kidney. On the fifth hospital day she suffered from abdominal pain with melena. Endoscopic examination of the upper GI tract and the colon revealed purpura like lesions in the stomach and hemorrhagic erosions in the colon. In Japan GI tract lesions in patients with S-H purpura have been reported in 32 cases including the auther's case they were varied from purpura like lesions to ulcer and were seen all over from the stomach to the colon. The purpura like lesions were reported in 5 cases in the stomach, 3 cases in the duodenum and 9 cases in the colon.
