A case of Schönlein-Henoch purpura in which small intestinal bleeding confirmed by endoscopy

Abstract

We experienced a case of a patient with Schönlein-Henoch purpura in whom small intestinal lesions were confirmed by colonoscopy.
A 22-year-old male visited dermatology division, complaining purpura appeared in the bilateral lower legs. 8 days later be started bloody stool with abdominal pain and he was admitted. Colonoscopy revealed diffuse erosion with bleeding in the terminal ileum lesion. Cutaneous biopsy showed leukocytoclastic vasculitis was diagnosed Schönlein-Henoch purpura. Treatment was begun with steroids and DDS (diamino-diphenyl-sulphone) , which improved the symptoms.
We investigated 68 reports of patients with Schönlein-Henoch purpura with apparent digestive lesions were confirmed during five years from 1996 to 2000. Although esophageal lesions were rarely found, erosions and ulcers were common findings in the second portion or lower region of the duodenum in many cases. Small intestinal ulcers are often diagnosed and in severe cases, operated cases are reported. Confirmation of small intestinal lesions by endoscopy was useful for the diagnosis of Schönlein-Henoch purpura complaining bloody stool.