CASE REPORT: Henoch–Schonlein Purpura Presenting with Ileal Involvement in an Adult

Autor: Raffi Karagozian, Andrew Szilagyi, Christian Turbide
Rok vydání: 2004
Předmět:
Zdroj: Digestive Diseases and Sciences. 49:1722-1726
ISSN: 0163-2116
DOI: 10.1023/b:ddas.0000043392.64347.ea
Popis: Henoch–Schonlein purpura (HSP) is an inflammatory vascular disease involving the skin, joints, gastrointestinal (GI) tract, and kidneys, named for two 19th-century German physicians, Eduard Henoch and Lucas Schonlein. The annual incidence is relatively low in pediatric population and even less in adults. Compared to children, adults generally present with more severe disease and renal involvement (1). The clinical features of HSP are a consequence of widespread leukocytoclastic vasculitis secondary to IgA deposition in vessel walls (2). Gastrointestinal manifestations are common but a predominance of terminal ideal involvement is unusual (3). We present a case of a 43-year-old male involving the terminal ileum without renal involvement. The literature is reviewed and differential diagnosis is discussed.
Databáze: OpenAIRE