VIDEO CUPSULE ENDOSCOPY WAS USEFUL IN EVALUATING THE SEVERITY OF HENOCH-SCHONLEIN PURPURA. REPORT OF A CASE

Abstract

A17 year-old female was referred to our hospital because of purpura of lower extremities and abdominal pain. A provisional diagnosis of Henoch-Schonlein purpura (HSP) was made, and oral predonisolone was started. The abdominal pain persisted despite treatment, whereas upper gastrointestinal endoscopy and colonoscopy failed to reveal significant findings. Video capsule endoscopy was then performed, which also revealed no significant findings ; the dosage of predonisolon could be reduced immediately. We conclude video cupsule endoscopy is useful to determine the therapeutic strategy in cases with HSP when clinical symptoms are inconsist ent with conventional endoscopic findings.