A 63-year-old woman with abdominal pain and melena developed a palpable, purpuric rash and acute kidney injury. Skin and kidney biopsy confirmed Henoch-Schönlein purpura. Upper endoscopy revealed diffuse, circumferential, black-appearing mucosa of the esophagus consistent with acute esophageal necrosis (AEN), also known as black esophagus. AEN is a very rare cause of gastrointestinal hemorrhage...

INTRODUCTION Henoch-Schonlein purpura (HSP) is one of the most common causes of small vessel vasculitis in children, but sometimes may have an atypical presentation. OBJECTIVE To report an unusual case of transient cortical blindness in a patient with Henoch-Schonlein purpura. CASE A 3-year-old female child was brought with the complaint of diffuse abdominal pain and hematochezia, which was...

Henoch-Schonlein purpura is vasculitis of small blood vessels characterized by deposits of IgA immune complexes and also non-thrombocytopenic purpura, abdominal pain, arthritis and renal involvement. It affects people of all ages, but most cases occur in children between 2 and 11 years old, more frequently in boys. The disease is much less common in adults, who often have a more severe course o...

Five patients with purpura hyperglobulinaemia are reviewed. One patient developed ulcerative colitis; female members of this patient's family suffered from rheumatoid arthritis. The family showed immunoglobulin abnormalities. Although the clinical picture of purpura hyperglobulinaemia and Henoch-Schonlein purpura can show some common features, the former may well be separated as a 'disturbed-to...

during a 6 year period from september 1992 to september 1998, 165 children with a final diagnosis of henoch-schonlein purpura (hsp) were managed and followed in our center. there were 87 (52%) boys and 78 (48%) girls, with age ranges of 1-16 years and mean age of 7.8 years. forty-one percent of the patients had evidence of preceding upper respiratory tract infection (uri). the main clinical fea...

We present a child with Henoch-Schonlein purpura and Mycoplasma pneumoniae infection, an association that was rarely described in the literature. The infection was confirmed serologically and by using PCR.

1 of 1 DESCRIPTION A 63-year-old man with a history of intermittent vasculitic rash presented with an acute abdomen. Findings at laparotomy were consistent with patchy serosal small vessel vasculitis. The patient was well and walking around the ward 24 h later after intravenous methylprednisolone. In this case no biopsy was taken. The diagnosis was made clinically given the history of intermitt...

Henoch-Schönlein purpura (HSP) is a small vessel vasculitis that annually affects 10 to 20 children per 100,000 population. It is the most common vasculitis of childhood. Although HSP is seen in infancy through adulthood, most documented cases affect children; more than 75% of those diagnosed as having HSP are younger than 10 years, with a peak incidence at 4 to 6 years. White and Asian childre...