Korean J Gastrointest Endosc > Volume 29(3); 2004 > Article
Korean Journal of Gastrointestinal Endoscopy 2004;29(3): 151-155.
십이지장을 침범한 Henoch-Schönlein 자반증 1예
윤수진·심기남·염문선·박지영·김명신·최희정·정성애·유 권·문일환
이화여자대학교 의과대학 내과학교실
A Case of Henoch-Schönlein Purpura with Duodenal Involvement
Su Jin Yoon, M.D., Ki-Nam Shim, M.D., Moon Sun Yeoum, M.D., Ji Young Park, M.D., Myung Shin Kim, M.D., Hee Jung Choi, M.D., Sung-Ae Jung, M.D., Kwoon Yoo, MD. and Il-Hwan Moon, M.D.
Department of Internal Medicine, Ewha Womans University College of Medicine, Seoul, Korea
Abstract
Henoch-Schönlein purpura is a form of systemic small- vessel vasculitis characterized by vascular purpura, predominantly occured on the lower limbs and articules with gastrointestinal and renal symptoms. The symptoms occur consecutively and purpura is the most common initial manifestation but if another symptoms prevails, the diagnosis often can be delayed. Any portion of the gastrointestinal tract distal to the esophagus may be involved, but most frequently affected sites are jejunum and ileum. Mucosal lesions found predominantly in the second portion of the duodenum seem to be characteristic of Henoch-Schönlein purpura and may assist the diagnosis in patients with atypical nonspecific symptoms. We report a case of Henoch-Schönlein purpura with the characteristic endoscopic finding in the second portion of duodenum, which helps to make the correct diagnosis and proper management of the patient. (Korean J Gastrointest Endosc 2004;29:151⁣155)
Key Words: Henoch-Schönlein purpura, Duodenum, Endoscopy
주요어: Henoch-Schönlein 자반증, 십이지장, 상부 위장관 내시경
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