Shönlein-Henoch purpura (SHP) is a common vasculitis affecting the skin, gastrointestinal tract, joints and, occasionally other organs. Gastrointestinal manifestation, such as abdominal pain is common.
We present a 23-year-old Japanese male with SHP. He was admitted to our hospital with abdominal pain, and purpuric rash on his extremities. Endoscopic examination of upper gastrointestinal tract revealed multiple erosion at the 2nd portion of duodenum. Colonoscopic findings were multiple small ulcers and erosions. We diagnosed SHP from physical findings and examinations, and started to treat with steroid medicine. Gradually, he recovered and discharged our hospital.