A 63-year-old female was admitted to our hospital with complaints of lower abdominal pain, melena and purpura. Colonoscopic examination revealed severe total colitis lesion with redness, edema and erosions. We treated the patient supportive therapy, abdominal pain and melena were improved immediately. Ten days later, on the second colonoscopic examination showed markedly improved colitis lesion. On 15days after hospitalization, although abdominal pain already disappeared, proteinuria was noted. We suspected Schönlein-Henoch nephritis and started use of steroid. In a few days, proteinuria and purpura were disappeared. A month later, the 3rd colonoscopic examination revealed normal mucosal lesion. Next day, she discharged. She is free from recurrence now.
We reported severe colitis lesion in Schönlein-Henoch purpura patient with old age who showed typical clinical course.
