INTESTINE Vol.16 No.5(1-1)

Theme Intestinal ulcerations related to vascular disorders
Title Henoch-Schönlein purpura
Publish Date 2012/09
Author Katsuyuki Tozawa Division of Lower Gastroenterology, Department of Internal Medicine, Hyogo College of Medicine
Author Yoshio Ohda Division of Lower Gastroenterology, Department of Internal Medicine, Hyogo College of Medicine
Author Masaki Iimuro Division of Lower Gastroenterology, Department of Internal Medicine, Hyogo College of Medicine
Author Nobuyuki Hida Division of Lower Gastroenterology, Department of Internal Medicine, Hyogo College of Medicine
Author Shiro Nakamura Division of Lower Gastroenterology, Department of Internal Medicine, Hyogo College of Medicine
Author Kazutoshi Hori Division of Lower Gastroenterology, Department of Internal Medicine, Hyogo College of Medicine
Author Takayuki Matsumoto Division of Lower Gastroenterology, Department of Internal Medicine, Hyogo College of Medicine
[ Summary ] Henoch-Schönlein purpura is characterized by vasculitis, mainly observed in capillaries and venules, not thought to be an ANCA related disease. Common symptoms are purpura and joint pain. However, it often involves the gastrointestinal tract. G-I symptoms including abdominal pain, melena and diarrhea are sometimes observed prior to definitive symptoms. In these situations, endoscopic features specific to Henoch-Schönlein purpura disease are markers for the proper diagnosis.
There are no specific treatments for this condition, however corticosteroids are often used in cases which the symptoms are severe or long lasting.
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