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Henoch-Schönlein Purpura complicated with major gastro-intestinal hemorrhage

Journal Volume 77 - 2014
Issue Fasc.4 - Case reports
Author(s) B. Waelkens, W. Van Moerkercke, E. Lerut, B. Sprangers
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Department (1) Internal Medicine, (3) Pathology, (4) Nephrology, University Hospitals Leuven, Belgium ; (2) Department Gastroenterology and Hepatology, AZGroeninge Kortrijk, Belgium.

We report a case of Henoch-Schönlein Purpura in a 83-year old patient. The patient presented with a purpuric rash and arthralgia. During admission, he developed hematochezia and acute kidney injury. Because of protracted gastro-intestinal bleeding after initi- ating therapy with methylprednisolone and ileocaecal resection, azathioprine was started. Gastro-intestinal bleeding resolved, and renal function normalized. We present the clinical and pathological findings of Henoch-Schönlein Purpura, focusing on gastro-intesti- nal manifestations. (Acta gastroenterol. belg., 2014, 77, 379-382).

© Acta Gastro-Enterologica Belgica.
PMID 25682624