Korean J Gastrointest Endosc > Volume 30(2); 2005 > Article
Korean Journal of Gastrointestinal Endoscopy 2005;30(2): 86-90.
소뇌 및 위장관 출혈을 동반한 Henoch-Schönlein 자반증 1예
이현석·박영숙·권계형·김충현·최원욱·김태헌·주연호·조윤주·이승진*·주종은
을지의과대학교 내과학교실, *신경외과학교실, 해부병리학교실
A Case of Henoch-Schönlein Purpura with Cerebellar and Gastrointestinal Bleeding
Hyun Seok Lee, M.D., Young Sook Park, M.D., Kye Hyoung Kwon, M.D., Chung Hyeon Kim, M.D., Won Wook Choi, M.D., Tae Hun Kim, M.D., Yeon Ho Choo, M.D., Yun Ju Jo, M.D., Seung Jin Lee, M.D.* and Jong Eun Ju, M.D.
Departments of Internal Medicine, *Neurosurgery and Pathology, Eulji University School of Medicine, Eulji Medical Center, Seoul, Korea
Abstract
Henoch-Schönlein purpura is a systemic leukocytoclastic vasculitis involving small vessels. The diagnostic criteria is defined as a typical skin rash of which pathologic examination shows leukocytoclastic vasculitis, accompanied by any two of these major manifestations of the disease, namely gastrointestinal tract, kidney, joint involvement. In elder patient, Henoch-Schönlein purpura shows more serious gastrointestinal tract involvement. There are some reports of brain involvement of Henoch-Schönlein purpura. A 69-year-old man was admitted to department of neurosurgery, because of loss of consciousness. Brain CT showed acute cerebellar hemorrhage with rapid resolution by conservative treatment. Diffuse purpuric eruptions on both low legs were developed after 7 days of hospitalization. He was refered to our department due to epigastric pain and bloody diarrhea. There were multiple longitudinal ulcers with hemorrhage on the stomach and the sigmoid colon of which biopsy showed leukocytoclastic vasculitis. Microscopic hematuria and proteinuria were also noted. He had a fatal course due to recurrent colonic bleeding and poor medical condition. We report an unusual case of cerebellar and gastrointestinal involvement of Henoch-Schönlein purpura in elderly patient. (Korean J Gastrointest Endosc 2005;30:86⁣90)
Key Words: Henoch-Schönlein purpura, Cerebellar hemorrhage, Gastrointestinal bleeding
주요어: Henoch-Schönlein 자반증, 소뇌 출혈, 위장관 출혈
TOOLS
PDF Links  PDF Links
Full text via DOI  Full text via DOI
Download Citation  Download Citation
Share:      
METRICS
1,644
View
6
Download
Related articles
The Value of Risk Scores to Predict Clinical Outcomes in Patients with Variceal and Non-Variceal Upper Gastrointestinal Bleeding  2021 March;54(2)
Acquired Hemophilia A with Gastrointestinal Bleeding  2020 January;53(1)
Endoscopic Findings in Children with Isolated Lower Gastrointestinal Bleeding  2019 May;52(3)
Endoscopy Timing in Patients with Acute Upper Gastrointestinal Bleeding  2019 January;52(1)
What is the Role of Double-Balloon Endoscopy in Patients Presenting with Obscure Gastrointestinal Bleeding?  2017 January;50(1)
Editorial Office
Korean Society of Gastrointestinal Endoscopy
#817, 156 Yanghwa-ro (LG Palace, Donggyo-dong), Mapo-gu, Seoul, 04050, Korea
TEL: +82-2-335-1552   FAX: +82-2-335-2690    E-mail: CE@gie.or.kr
Copyright © Korean Society of Gastrointestinal Endoscopy.                 Developed in M2PI
Close layer