GI lesions in Henoch-Schönlein purpura

Pore, Girish

doi:10.1067/mge.2002.120785

Cited by 19 publications

(7 citation statements)

References 5 publications

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“…Gastrointestinal symptoms occur in the acute phase of disease, also in two thirds of patients. The symptoms include acute abdominal pain, nausea, vomiting, melena and upper gastrointestinal hemorrhage 5 . Renal disease constitutes the most serious feature of SHP.…”

Section: Discussionmentioning

confidence: 99%

Schönlein–Henoch purpura during pregnancy: Case report and review of the literature

Koizumi

Hagino

Fukuyama

et al. 2004

J of Obstet and Gynaecol

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The clinical features of Schönlein-Henoch Purpura (SHP) consist of non-thrombocytopenic purpura in association with joint, gastrointestinal and renal involvements. Because it is uncommon in adults, there is little information on the effects of SHP on pregnancy in the literature. This report documents the clinical findings and outcome of an uncommon case of SHP affecting a woman who was 25 weeks pregnant. Prompt steroid-therapy induced a rapidly favorable course and successful vaginal delivery at 40 weeks gestation. If SHP develops during pregnancy, it is not always easy to distinguish from obstetrical complications such as pre-eclampsia. An early diagnosis is important especially if renal involvement exists, because the prognosis for this disease can include nephropathy and it therefore needs close monitoring.

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Section: Discussionmentioning

confidence: 99%

Schönlein–Henoch purpura during pregnancy: Case report and review of the literature

Koizumi

Hagino

Fukuyama

et al. 2004

J of Obstet and Gynaecol

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“…Bacterial and viral infections, various drugs, foods, insect bites, and immunizations are among the inciting agents that have been suggested. Among the drugs clarithromycin, angiotensin-converting enzyme inhibitors, quinidine, acetylsalicilic acid, ampicillin, chlorpromazine, ciprofloxacin, and ranitidine have been reported to cause HSP [7]. Our patient was treated with intravenous ranitidine and 1 h later palpable purpuric rashes developed on her buttocks and lower extremities.…”

Section: Discussionmentioning

confidence: 86%

Gastrointestinal Bleeding during the Course of Klebsiella pneumoniae Bacteremia

Köksal¹,

Arhan²,

Köklü³

et al. 2005

Visc Med

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In a 58-year-old woman presenting with abdominal pain, high fever, palpable purpuric rashes, and melena Henoch-Schönlein purpura was diagnosed. She had a history of diarrhea attack throughout 3 days which lasted 2 days before admission to our hospital. Blood culture yielded Klebsiella pneumoniae bacteremia. The patient was successfully treated with prednisone and ceftriaxone. This is the first case of Henoch-Schönlein purpura which is causally linked to Klebsiella pneumoniae.

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“…This may also be the case in some subsets of patients with Henoch-Schönlein purpura (HSP), while the majority of abdominal manifestations of HSP may follow either a self-limiting course or show a favorable response to corticosteroid treatment [2][3][4]. In this report, we describe our serendipitous experience with a case of HSP in a male patient who developed lethal gastrointestinal hemorrhage.…”

Section: Introductionmentioning

confidence: 90%

Henoch–Schönlein purpura complicated with severe gastrointestinal bleeding

et al. 2014

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Bleeding from the gastrointestinal tract is one of the common determinants of morbidity and mortality in the ordinary clinical setting. The gastrointestinal involvement of Henoch-Schönlein purpura (HSP) has often been described as self-limiting, with no long-term morbidity. In this report, we describe our experience with a male HSP patient who presented with abdominal pain, loss of appetite and deteriorated renal function associated with nephrotic syndrome. Despite the use of aggressive immunomodulatory treatments, including corticosteroids and plasmapheresis, he developed lethal gastrointestinal hemorrhage. We believe that the accumulation of more experience with additional cases similar to ours is mandatory for the establishment of optimal management for HSP patients with severe gastrointestinal manifestations.

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GI lesions in Henoch-Schönlein purpura

Cited by 19 publications

References 5 publications

Schönlein–Henoch purpura during pregnancy: Case report and review of the literature

Schönlein–Henoch purpura during pregnancy: Case report and review of the literature

Gastrointestinal Bleeding during the Course of Klebsiella pneumoniae Bacteremia

Henoch–Schönlein purpura complicated with severe gastrointestinal bleeding

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