Year 2025 / Volume 117 / Number 4
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An unusual cause of gastrointestinal bleeding: adult mixed-type Henoch-Schönlein purpura

213-214

DOI: 10.17235/reed.2023.9752/2023

Yibing Hu, Jin Ding, Qunying Wang,

Abstract
A 25-year-old man presented with 3-day history of abdominal pain, vomiting, diarrhea, and bloody stools. The contrast-enhanced CT examination of the abdomen detected thickening and edema of intestinal canal wall. The complete colonoscopy showed hyperemia, dropsy and erosion in the sigmoid colon and rectum. The biopsies revealed obvious bleeding points in mucosa. Then, wireless capsule endoscopy (OMOM ® JS-ME-I) was carried out and showed multiple lesions in the entire small intestine with diffused hyperemia, dropsy and erosion, even multiple and large ulcers. Subsequently, symmetrical scattered purpura distributed over the extensor surfaces of the lower limbs. Hence, a firm diagnosis of adult mixed-type Henoch-Schönlein purpura (HSP) was made. With the use of methylprednisolone, the patient was recovered. The patient remained well during our follow-up.
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References
1. Hetland LE, Susrud KS, Lindahl KH, Bygum A. Henoch-Schönlein Purpura: A Literature Review. Acta Derm Venereol. 2017. 97(10): 1160-1166. DOI: 10.2340/00015555-2733.
2. Yang YH, Yu HH, Chiang BL. The diagnosis and classification of Henoch-Schönlein purpura: an updated review. Autoimmun Rev. 2014. 13(4-5): 355-8. DOI: 10.1016/j.autrev.2014.01.031
3. Cui J, Huang LY, Wu CR. Small intestinal vascular malformation bleeding: diagnosis by double-balloon enteroscopy combined with abdominal contrast-enhanced CT examination. Abdom Imaging. 2012. 37(1): 35-40. DOI: 10.1007/s00261-011-9730-0.
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Hu Y, Ding J, Wang Q. An unusual cause of gastrointestinal bleeding: adult mixed-type Henoch-Schönlein purpura . 9752/2023


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Publication history

Received: 29/05/2023

Accepted: 05/06/2023

Online First: 22/06/2023

Published: 03/04/2025

Article Online First time: 24 days

Article editing time: 675 days


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