Korean J Gastrointest Endosc > Volume 26(1); 2003 > Article
Korean Journal of Gastrointestinal Endoscopy 2003;26(1): 35-38.
Henoch-Schönlein 자반증을 동반한 파종성 결핵 1예
전대형·김병욱·이보인·박용범·이계원·최 황
가톨릭대학교 의과대학 내과학교실
Henoch-Schönlein Purpura in a Disseminated Tuberculosis Patient
Dae Hyung Jun, M.D., Byung Wook Kim, M.D., Bo In Lee, M.D., Yong Bum Park, M.D.,
Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea
Henoch-Schönlein purpura is a systemic leukoclastic vasculitis and involves small vessels resulting in vasculitis. Major pathogenetic mechanism of Henoch-Schönlein purpura has not been still elucidated. Possible causes, however, may be associated with viral infection, bacterial infection, exposure to drugs and toxins, systemic diseases and carcinomas. Henoch-Schönlein purpura rarely develops in patients with tuberculosis, though there have been some reports on the development of this syndrome during antituberculous therapy. A 24-year-old man was admitted to our hospital because of diffuse abdominal pain, lower leg purpura and disseminated tuberculosis involving lung, duodenum, colon and lumbar spine and diagnosed as Henoch-Schönlein purpura with disseminated tuberculosis. Henoch-Schönlein purpura developed before antibuberculous therapy and antituberculous treatment was effective both in disseminated tuberculosis and Henoch-Schönlein purpura. We concluded that disseminated

tuberculosis might be a cause of Henoch-Schönlein purpura. (Korean J Gastrointest Endosc 2003;26:35⁣38)

Key Words: Henoch-Schönlein purpura, Disseminated tuberculosis
주요어: Henoch-Schönlein 자반증, 파종성 결핵
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