Open AccessParoxysmal drastic abdominal pain with tardive cutaneous lesions presenting in Henoch-Schönlein purpura
Author(s) -
Xiaoliang Chen,
Hong Qing Tian,
Jianzhong Li,
Tao Jiang,
Hua Tang,
Yang Li,
Bin Wu
Publication year - 2012
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.v18.i16.1991
Subject(s) - medicine , henoch schonlein purpura , abdominal pain , purpura (gastropod) , palpable purpura , vasculitis , thrombocytopenic purpura , arthritis , pathology , dermatology , gastroenterology , immune system , immunology , disease , ecology , biology
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.