Progress of Digestive Endoscopy
Online ISSN : 2187-4999
Print ISSN : 1348-9844
ISSN-L : 1348-9844
症例
内視鏡で小腸病変を観察し得たSchonlein-Henoch紫斑病の3例
井上 悌仁成松 和幸佐藤 伸悟早坂 健司佐藤 宏和安武 優一八月朔日 秀明上田 俊秀東山 正明中村 光康渡辺 知佳子若林 寛二穂苅 量太川口 淳永尾 重昭三浦 総一郎
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2010 年 77 巻 2 号 p. 106-107

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Schonlein-Henoch purpura (SHP) is a systemic microvascular inflammatory disease. It has peak at 4-7 years old, and adult onset cases are about 5% of all. Sometimes adult onset cases have severe courses such as intestinal perforation. In almost 100% of cases skin eruption occurs, but about 15% of cases gastrointestinal symptoms precede skin eruption. Local inflammation in gastrointestinal region reveals atypical gastrointestinal manifestations, irregular-shaped ulcer, edematous mucosa. Although it has been reported that gastrointestinal findings can be seen most commonly in the second part of duodenum, small intestinal endoscopy and capsule endoscopy enable us to observe all sites of the small intestine. The findings in small intestine in HSP cases are useful to understand the pathological features of vascular disease.
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© 2010 一般社団法人 日本消化器内視鏡学会 関東支部
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