Gastrointestinal lesions in an adult patient with Henoch-Schönlein purpura.
Gastrointestinal lesions in an adult patient with Henoch-Schönlein purpura.
复制标题
一名患有过敏性紫癜的成年患者的胃肠道病变。
作者：
N. Yoshikawa;F. Yamamura;Y. Akita;T. Sato;K. Mitamura
一名28岁男性患者因服用高剂量抗精神病药物中毒，出现双下肢紫癜疹、下腹部疼痛、关节痛和新鲜血便。结肠镜检查发现直肠及乙状结肠内有大量环状小斑点。上消化道内窥镜检查发现胃窦和十二指肠第二部分有少量瘀点。入院后给予凝血因子X III治疗。38天后，结直肠、十二指肠第二部分、胃窦均未见粘膜异常。胃肠道病变的消失与病程有关。Henoch-Schönlein紫癜患者应彻底观察胃肠道。
A 28 year-old man was admitted because drug toxication, due to a high dose of antipsychotic drugs, presented purpuric rash on both legs, lower abdominal pain, arthralgia, and fresh-bloody stool. Colonoscopy observed numerous small ring-like petechiae in the rectum and in the sigmoid colon. Upper gastrointestinal endoscopy found a few petechiae in the antrum of the stomach and in the duodenal second portion. He was treated with coagulation factor X III after admission. After 38 days, there was no abnormal mucosa in the colorectum, the duodenal second portion, or the antrum of the stomach. The disappearance of gastrointestinal lesions correlated with the course of the illness. Gastrointestinal tracts should be thoroughly observed in patients with Henoch-Schönlein purpura.