Paroxysmal drastic abdominal pain with tardive cutaneous lesions presenting in Henoch-Schönlein purpura.

Abstract

Henoch-Schönlein purpura (HSP) is a small-vessel vasculitis mediated by IgA-immune complex deposition. It is characterized by the clinical tetrad of non-thrombocytopenic palpable purpura, abdominal pain, arthritis and renal involvement. The diagnosis of HSP is difficult, especially when abdominal symptoms precede cutaneous lesions. We report a rare case of paroxysmal drastic abdominal pain with gastrointestinal bleeding presented in HSP. The diagnosis was verified by renal damage and the occurrence of purpura.

• Authors: Xiao-Liang Chen, Hong Tian, Jian-Zhong Li, Jin Tao, Hua Tang, Yang Li, Bin Wu
• Journal: World journal of gastroenterology (World J Gastroenterol) Vol. 18 Issue 16 Pg. 1991-5 (Apr 28 2012) ISSN: 2219-2840 [Electronic] United States
• PMID: 22563183 (Publication Type: Case Reports, Journal Article, Research Support, Non-U.S. Gov't)

Topics

• Abdominal Pain (etiology)
• Adolescent
• Gastrointestinal Hemorrhage (etiology)
• Humans
• IgA Vasculitis (complications)
• Kidney (pathology)
• Male
• Skin Diseases (etiology)