A case of Henoch-Sch?nlein purpura with psoas muscle abscess and full-blown gastrointestinal complications] |
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| Authors: | Hee Jung Lee Sun Moon Kim Sung Ro Yun Tae Hee Lee Euyi Hyeog Im Kyu Chan Huh Young Woo Choi Young Woo Kang |
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| Institution: | Department of Internal Medicine, Konyang University College of Medicine, Seo-Gu, Daejeon, Korea. |
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| Abstract: | Henoch-Sch?nlein 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 50~85% of patients, and in 14~40% 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. |
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