Tomomasa T, Hsu J Y, Itoh K, Kuroume T
Department of Pediatrics, Gunma University School of Medicine, Japan.
J Pediatr Gastroenterol Nutr. 1987 Sep-Oct;6(5):725-9. doi: 10.1097/00005176-198709000-00012.
We report the gastrointestinal endoscopic findings in nine patients with Henoch-Schonlein purpura. Eight patients underwent upper gastrointestinal endoscopy, which revealed erosive gastritis in one patient, hemorrhagic-erosive duodenitis in four, and both findings in one. The rectum and the sigmoid colon were examined in six patients. Aphthoid ulcers were noted in two. In one of these patients, a rectal ulcer was also noted. Severe inflammatory changes and angiitis were found in the biopsy specimens obtained from the duodenum and the colon. The vascular abnormalities in the gastrointestinal mucosa are similar histologically to those found in the skin in Henoch-Schonlein purpura.
我们报告了9例过敏性紫癜患者的胃肠道内镜检查结果。8例患者接受了上消化道内镜检查，其中1例显示糜烂性胃炎，4例显示出血性糜烂性十二指肠炎，1例同时有这两种表现。6例患者检查了直肠和乙状结肠，其中2例发现口疮样溃疡，其中1例还发现了直肠溃疡。从十二指肠和结肠获取的活检标本中发现了严重的炎症变化和血管炎。过敏性紫癜患者胃肠道黏膜的血管异常在组织学上与皮肤中发现的血管异常相似。
