Korean J Gastrointest Endosc > Volume 29(4); 2004 > Article
Korean Journal of Gastrointestinal Endoscopy 2004;29(4): 199-203.
위궤양 출혈을 동반한 Henoch-Schönlein 자반증 1예
김은정·정우철·이강문·이진선·장우임·조현미·양진모·김성경·나종명·정인식
가톨릭대학교 의과대학 내과학교실
A Case of Henoch-Schönlein Purpura Associated with Gastric Ulcer Bleeding
Eun Jung Kim, M.D., Woo-Chul Chung, M.D., Kang Moon Lee, M.D., Jin Sun Lee, M.D., U-Im Chang, M.D., Hyun Mi Cho, M.D., Jin Mo Yang, M.D., Sung Kyoung Kim, M.D.,Jong Myoung Nah, M.D. and In Sik Chung, M.D.
Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea
Abstract
Henoch-Schönlein purpura is a systemic leukoclastic vasculitis that predominantly affects small vessels. This results in purpura, abdominal pain, arthralgia and occasional sometimes nephritis. Gastrointestinal involvement occurs in 50∼75% of the patients. The small bowel and colon are relatively commonly affected, but the gastric involvement is rare. Endoscopic findings include mucosal edema, hemorrhagic changes, erosions and superficial ulcers. However, deep gastric ulcers are rarely observed in Henoch-Schönlein purpura and have not been reported yet. We report a patient with typical Henoch-Schönlein purpura who presented with melena due to bleeding from multiple deep gastric ulcers and got improved with administration of high dose corticosteroid. (Korean J Gastrointest Endosc 2004;29:199⁣203)
Key Words: Henoch-Schönlein purpura, Gastric ulcer
주요어: Henoch-Schönlein 자반증, 위궤양
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