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World J Gastroenterol. Apr 28, 2012; 18(16): 1991-1995
Published online Apr 28, 2012. doi: 10.3748/wjg.v18.i16.1991
Published online Apr 28, 2012. doi: 10.3748/wjg.v18.i16.1991
Paroxysmal drastic abdominal pain with tardive cutaneous lesions presenting in Henoch-Schönlein purpura
Xiao-Liang Chen, Hong Tian, Jian-Zhong Li, Jin Tao, Bin Wu, Department of Gastroenterology, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510630, Guangdong Province, China
Hua Tang, Department of Nephrology, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510630, Guangdong Province, China
Yang Li, Department of Pathology, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510080, Guangdong Province, China
Author contributions: Chen XL and Tian H contributed equally to this work; Chen XL, Tian H, Li JZ, Tao J, Tang H, Li Y and Wu B analyzed the data and diagnosed and treated the patient; Chen XL and Wu B wrote the paper.
Supported by The Major Projects Incubator Program of Sun Yat-Sen University, No. 10ykjc25; One Hundred Talents Program of Sun Yat-Sen University, No. 82000-3171310; Guangdong Science and Technology Program, No. 2009B060300001; National Natural Science Foundation of China, No. 30971357
Correspondence to: Bin Wu, MD, PhD, Professor and Chief, Department of Gastroenterology, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510630, Guangdong Province, China. binwu001@hotmail.com
Telephone: +86-20-85253095 Fax: +86-20-85253336
Received: September 15, 2011
Revised: November 24, 2011
Accepted: December 15, 2011
Published online: April 28, 2012
Revised: November 24, 2011
Accepted: December 15, 2011
Published online: April 28, 2012
Abstract
Henoch-Schönlein purpura (HSP) is a small-vessel vasculitis mediated by IgA-immune complex deposition. It is characterized by the clinical tetrad of non-thrombocytopenic palpable purpura, abdominal pain, arthritis and renal involvement. The diagnosis of HSP is difficult, especially when abdominal symptoms precede cutaneous lesions. We report a rare case of paroxysmal drastic abdominal pain with gastrointestinal bleeding presented in HSP. The diagnosis was verified by renal damage and the occurrence of purpura.