Henoch-Schönlein purpura presenting with multiplex gastrointestinal manifestations and massive nephrotic syndrome in adulthood — a case report |
| |
Authors: | Farkas Klaudia Molnár Tamás Nagy Ferenc Tiszlavicz László Németh István Kemény Éva Varga Erika Wittmann Tibor |
| |
Institution: | (1) First Department of Internal Medicine, University of Szeged, H6720 Szeged, Hungary;(2) Department of Pathology, University of Szeged, H6720 Szeged, Hungary;(3) Department of Dermatology and Allergology, University of Szeged, H6720 Szeged, Hungary |
| |
Abstract: | Henoch-Schönlein purpura (HSP) is a systemic small vessel vasculitis mainly affecting children. We report a case of a 49-year-old woman with severe gastrointestinal and renal involvement of HSP. Endoscopy revealed more characteristic findings in the terminal ileum than in the gastric antrum. Histological examinations of the biopsy samples from the ileum, antrum, skin and kidney confirmed the diagnosis of HSP. Parenteral corticosteroid therapy led to a rapid improvement of the gastrointestinal symptoms, but because of the excessive proteinuria intravenous cyclophosphamide therapy had to be introduced. |
| |
Keywords: | Henoch-Sch?nlein purpura Nephrotic syndrome Adulthood |
本文献已被 SpringerLink 等数据库收录! |
|