Korean J Gastrointest Endosc > Volume 19(5); 1999 > Article

Korean Journal of Gastrointestinal Endoscopy 1999;19(5): 803-807.

위장관 출혈이 합병된 Henoch-Sch nlein 자반증 2예 ( Two Cases of Henoch-Sch nlein Purpura Complicated by Gastrointestinal Bleeding )

김인한(In Han Kim),김범수(Pum Soo Kim),장재남(Jae Nam Chang),이돈행(Don Haeng Lee),최원(Won Choi),김형길(Hyung Gil Kim),김영수(Young Soo Kim)

Abstract

In the course of Henoch-Sch nlein purpura, diverse gastrointestinal manifestations are common. Two cases of Henoch-Sch nlein purpura complicated by upper and lower gastrointestinal bleeding is herein reported. For both patients, peculiar endoscopic pictures revealed, severe ulcerations and frank bleeding. A biopsy showed typical leukocytoclastic vasculitis which were the same as with the skin biopsy. The endoscopic finding was determined not to be pathognomonic, but instead characteristic of Henoch-Sch nlein purpura. Therefore, an endoscopy can be useful in the diagnosis of Henoch-Sch nlein purpura, especially for those patients without a typical skin rash. (Korean J Gastrointest Endosc 19: 803∼807, 1999)

Key Words: Henoch-Sch nlein purpura, Endoscopy, Gastrointestinal bleeding