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Treatment of Severe Small Bowel Involvement in Henoch-Schonlein Purpura: Two Cases Report / 대한소아소화기영양학회지
Korean Journal of Pediatric Gastroenterology and Nutrition ; : 78-82, 2004.
Artículo en Coreano | WPRIM | ID: wpr-74114
ABSTRACT
Henoch-Schonlein purpura (HSP) is a vasculitis of the small vessels in skin, joints, gastrointestinal (GI) tract and kidney. GI symptoms occur in up to 85% of patients and may lead to severe problems such as intussusception, obstruction, and perforation. GI symptoms may not be easily controlled, showing refractoriness to the conventional corticosteroid therapy. Although GI involvements of HSP are acute, and self-limited in most instances, they may cause fatal results in some unusual cases. In such conditions all the possible therapeutic modalities should be considered. We report two cases of severe small bowel involvement of HSP. One case presented with severe abdominal pain showing refractoriness to corticosteroid, but improved with IV immunoglobulin therapy. In the second case, HSP with transmural infarction in the small bowel could be cured with surgical intervention.
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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Vasculitis por IgA / Piel / Vasculitis / Inmunoglobulinas / Dolor Abdominal / Inmunización Pasiva / Infarto / Intususcepción / Articulaciones / Riñón Límite: Humanos Idioma: Coreano Revista: Korean Journal of Pediatric Gastroenterology and Nutrition Año: 2004 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Vasculitis por IgA / Piel / Vasculitis / Inmunoglobulinas / Dolor Abdominal / Inmunización Pasiva / Infarto / Intususcepción / Articulaciones / Riñón Límite: Humanos Idioma: Coreano Revista: Korean Journal of Pediatric Gastroenterology and Nutrition Año: 2004 Tipo del documento: Artículo