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Henoch–Schönlein Purpura: Gastrointestinal Features

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Atlas of Dermatological Manifestations of Gastrointestinal Disease
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Abstract

Henoch–Schönlein purpura is a systemic vasculitis that is characterized by the deposition of IgA-containing immune complexes. The disease generally occurs in children, with 2:1 male to female predominance, and is usually preceded by a upper respiratory infection.

The gastrointestinal (GI) symptoms seen are:

Abdominal pain (80 % of patients): colicky, periumbilical, can be associated with vomiting and distension and may be severe enough to resemble a surgical abdomen

GI bleeding: occult or symptomatic; occurs in 50 % of patients, usually self-limited

Intussusception: usually ileoileal

The clinical signs and findings include:

Patients most often present with rash, GI symptoms, arthritis, and nephropathy

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References

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Correspondence to Liam Zakko .

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Zakko, L. (2013). Henoch–Schönlein Purpura: Gastrointestinal Features. In: Wu, G., Selsky, N., Grant-Kels, J. (eds) Atlas of Dermatological Manifestations of Gastrointestinal Disease. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6191-3_25

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  • DOI: https://doi.org/10.1007/978-1-4614-6191-3_25

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-6190-6

  • Online ISBN: 978-1-4614-6191-3

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