Gastrointestinal Endoscopic Findings in a Patient with Schönlein-Henoch Purpura

Abstract

We present a case of 16-year-old woman admitted our hospital complaining abdominal pain, nausea and fever. She suffered from melena and purpuric rash on the third and seventh hospital days. Endoscopic examination of upper GI tract revealed multiple redness and erosion in the middle body and antrum of the stomach and duodenal bulb. Colonoscopic findings are similar to the upper GI findings or severer. The biopsy specimens of skin showed perivascular cellular infiltrations and focal accumuration of IgA was noted by IgA immunohistochemistry.
We diagnosed Schönlein-Henoch purpura from physical findings and examinations. She treated by steroid and preparation of facter XIII and recoverd gradually.