Esophageal stricture as a complication in Henoch-Schönlein purpura.

We report on a three-year-old boy with Henoch-Schönlein purpura developing an esophageal stenosis during severe clinical course of this disease. There are to date no reports on the development of such a complication. The possible pathogenesis in relation to stricture formation of ileum and ureter in Henoch-Schönlein's purpura is discussed.

[An infant with 5 weeks of fever of unknown origin and a reasonably good clinical condition; leishmaniasis]. / Een zuigeling met vijf weken febris e causa ignota en een redelijk goede klinische conditie; leishmaniasis.

In a Dutch infant, aged 10 months, with fever of unknown origin for 5 weeks and a relatively good clinical condition splenomegaly was present. Visceral leishmaniasis was diagnosed. The parasite is found in (sub)tropical regions and had in this case been acquired in Southern Spain. Epidemiology, clinical symptoms, diagnostic procedures and therapy are discussed.