Henoch scholein purpura presenting as distal ileitis in a postmenopausal woman: A rare case report
Keywords:
Distal Ileitis, Henoch Scholein purpura, Small vessel vasculitis
Abstract
Henoch Schonlein purpura (HSP) is a small vessel vasculitis leading to deposition of immune IgA complexes. It presents with a tetrad of symptoms, including a purpuric rash occurring on the lower extremities, gastro intestinal involvement, renal involvement and arthritis. HSP is self limited and primarily affects children .The etiology is unknown. Treatment is mainly supportive therapy with analgesics and in severe cases, steroids are used. Here we report a rare case of Henoch Scholein purpura in a postmenopausal woman presenting as acute distal ileitis.
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References
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2. Sohagia AB, Gunturu SG, Tong TR, Hertan HI. Henoch-schonlein purpura-a case report and review of the literature. Gastroenterol Res Pract. 2010;2010:597648. doi: 10.1155/2010/597648. Epub 2010 May 23.
3. Jennette JC, Falk RJ. Small-vessel vasculitis. N Engl J Med. 1997 Nov 20;337(21):1512-23.
4. Trujillo H, Gunasekaran TS, Eisenberg GM, Pojman D, Kallen R. Henoch-Schönlein purpura: a diagnosis not to be forgotten. J Fam Pract. 1996 Nov;43(5):495-8.
5. Chen KR, Carlson JA. Clinical approach to cutaneous vasculitis. Am J Clin Dermatol. 2008;9(2):71-92.
6.Kim CJ, Chung HY, Kim SY, Kim YO, Ryu SY, Kim JC, Chung JH. Acute appendicitis in Henoch-Schönlein purpura: a case report. J Korean Med Sci. 2005 Oct;20(5):899-900.
7. Trouillier S, Andre M, Delevaux I, et al. Abdominal manifestations of Henoch-Schönlein purpura in adults: a retrospective study of 23 cases. La Revue de Médecine Interne.2009;30(8):661–670.
8. Mills JA, Michel BA, Bloch DA, Calabrese LH, Hunder GG, Arend WP, Edworthy SM, Fauci AS, Leavitt RY, Lie JT, et al. The American College of Rheumatology 1990 criteria for the classification of Henoch-Schönlein purpura. Arthritis Rheum. 1990 Aug;33(8):1114-21.
9. Ozen S, Ruperto N, Dillon MJ, Bagga A, Barron K, Davin JC, Kawasaki T, Lindsley C, Petty RE, Prieur AM, Ravelli A, Woo P. EULAR/PReS endorsed consensus criteria for the classification of childhood vasculitides. Ann Rheum Dis. 2006 Jul;65(7):936-41. Epub 2005 Dec 1.
10. Yentis I. Henoch-Schönlein purpura mimicking acute appendicitis and Crohn's disease. Br J Radiol. 1973 Jul;46(547):555-6.
CITATION
DOI: 10.17511/ijmrr.2016.i07.22
Published: 2016-07-31
How to Cite
1.
Ramya S, Ganesan SN, Sundari SM, Sundaravadivelu V, Priyadharshini P. Henoch scholein purpura presenting as distal ileitis in a postmenopausal woman: A rare case report. Int J Med Res Rev [Internet]. 2016Jul.31 [cited 2024Dec.23];4(7):1207-10. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/640
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Section
Case Report
OAI - Open Archives Initiative
