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Massive lower gastrointestinal haemorrhage, successfully treated with corticosteroids, as main symptom of Schönlein-Henoch purpura

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Abstract

Schönlein-Henoch purpura is a small vessel disease that affects mainly skin and kidney, although several gastrointestinal symptoms may occur including abdominal pain, intussusception, perforation or bleeding. Massive lower gastrointestinal haemorrhage is rare and even more as the main symptom of the disease. We present a case of a 2-year-old boy with Schönlein-Henoch purpura who developed a massive lower gastrointestinal bleeding requiring blood transfusion. In this patient both Schönlein-Henoch purpura and gastrointestinal haemorrhage were successfully treated with intravenous methylprednisolone, avoiding surgical intervention. Physicians need to have a high index of suspicion when evaluating these patients, even more when dermatologic signs are scarce. Glucocorticosteroid therapy may be effective when treating severe gastrointestinal symptoms.

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Conflict of interest statement

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Department of Pediatrics, Hospital Universitario Central de Asturias, Oviedo (Asturias), Spain

    F. Álvarez-Caro, J. A. Concha-Torre, I. García-Hernández, S. Menéndez-Cuervo, M. los Arcos-Solas, J. Santos-Juanes & E. Ramos-Polo

  2. Hospital Universitario Central de Asturias, Oviedo (Asturias), Spain

    F. Álvarez-Caro, J. A. Concha-Torre, I. García-Hernández, S. Menéndez-Cuervo, M. los Arcos-Solas & E. Ramos-Polo

  3. Service of Dermatology, Hospital Universitario Central de Asturias, Oviedo (Asturias), Spain

    J. Santos-Juanes

  4. Avda/ San Martín Padre 15, CP 33405, Oviedo (Asturias), Spain

    F. Álvarez-Caro

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  1. F. Álvarez-Caro
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  2. J. A. Concha-Torre
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  3. I. García-Hernández
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  4. S. Menéndez-Cuervo
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  5. M. los Arcos-Solas
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Correspondence to F. Álvarez-Caro.

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Álvarez-Caro, F., Concha-Torre, J.A., García-Hernández, I. et al. Massive lower gastrointestinal haemorrhage, successfully treated with corticosteroids, as main symptom of Schönlein-Henoch purpura. Rheumatol Int 29, 1491–1494 (2009). https://doi.org/10.1007/s00296-009-0853-3

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  • DOI: https://doi.org/10.1007/s00296-009-0853-3

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