Lee Hee Jung, Kim Sun Moon, Yun Sung Ro, Lee Tae Hee, Im Euyi Hyeog, Huh Kyu Chan, Choi Young Woo, Kang Young Woo
Department of Internal Medicine, Konyang University College of Medicine, Seo-Gu, Daejeon, Korea.
Korean J Gastroenterol. 2007 Feb;49(2):114-8.
Henoch-Schönlein purpura (HSP) is a vasculitis involving small vessels of skin, joints, gastrointestinal (GI) tract, and kidneys. The patients typically show palpable purpura with one or more characteristic manifestations including abdominal pain, hematuria or arthritis. HSP shows gastrointestinal symptoms in 5085% of patients, and in 1440% of patients GI symptoms precede purpuric rash which makes the diagnosis of HSP difficult. We present a case of Henoch-Schonlein purpura with GI bleeding, septic shock by ileal microperforation, small bowel obstruction as a result of ileal stricture and psoas muscle abscess.
过敏性紫癜（HSP）是一种累及皮肤、关节、胃肠道（GI）和肾脏小血管的血管炎。患者通常表现为可触及的紫癜，并伴有一种或多种特征性表现，包括腹痛、血尿或关节炎。50%至85%的HSP患者有胃肠道症状，14%至40%的患者胃肠道症状先于紫癜皮疹出现，这使得HSP的诊断变得困难。我们报告一例过敏性紫癜患者，出现胃肠道出血、回肠微穿孔导致的感染性休克、回肠狭窄引起的小肠梗阻和腰大肌脓肿。
