Clinical and Experimental Pediatrics

Search

Search

Close


Warning: fopen(/home/virtual/pediatrics/journal/upload/ip_log/ip_log_2024-11.txt) [function.fopen]: failed to open stream: Permission denied in /home/virtual/pediatrics/journal/ip_info/view_data.php on line 93

Warning: fwrite(): supplied argument is not a valid stream resource in /home/virtual/pediatrics/journal/ip_info/view_data.php on line 94

All issues > Volume 45(1); 2002

Case Report
J Korean Pediatr Soc. 2002;45(1):125-130. Published online January 15, 2002.
Small Intestinal Infarction Associated with Henoch-Schöenlein Purpura
Myung Ki MK Han1, Yu In YI Park1, Jeong Ho JH Kim1, Jung Joo JJ Lee1, Hye Young HY Kang2
1Department of Pediatrics, Kangnung Hospital, College of Medicine, Ulsan University, Kangnung, Korea
1Department of Pediatrics, Kangnung Hospital, College of Medicine, Ulsan University, Kangnung, Korea
2Yonsei Pediatric Clinic, Korea
Correspondence Yu In YI Park ,Email: yipark@knh.co.kr
Abstract
Henoch-Schöenlein purpura, also known as anaphylactoid purpura, is characterized by palpable purpura, colicky abdominal pain, gastrointestinal hemorrhage, arthralgias, and renal involvement. Histopathologically, the condition represents a vasculitis, and in fact, it may be the most common vasculitis syndrome affecting children. The pathogenesis of Henoch-Schöenlein purpura remains poorly understood, but it is postulated that an unknown antigenic stimulus causes elevation of circulating IgA and that complement activation leads to necrotizing vasculitis. All of its clinical features are attributable to wide spread vasculits. Abdominal pain is the most common gastrointestinal symptom, but intestinal bleeding and intussusception may occur. Mesenteric vasculitis is a rare but potentially serious complication of systemic vasculitis. It is reported in association with rheumatoid arthritis, systemic lupus erythematosus, scleroderma, polyarteritis nodosa, and giant cell arteritis in adult patients. Typical features are diffuse non-specific abdominal pain progressing on occasion to gastrointestinal hemorrhage, perforation, or more rarely infarction. Fortunately intestinal infarction is a rare complications, but if present carries a high chance of mortality, and swift management of the underlying vasculitis is crucial. We describe here an unusual case of a small intestinal infarction associated with Henoch-Schöenlein purpura caused by mesenteric vasculitis.

Keywords :Henoch-Schöenlein purpura, intestinal infarction

Go to Top