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Endoscopy 2009; 41: E111-E112
DOI: 10.1055/s-0029-1214629
Unusual cases and technical notes

© Georg Thieme Verlag KG Stuttgart · New York

Chromoendoscopic findings useful for diagnosis and assessment of treatments for ileac lesions of Henoch–Schönlein purpura

S.  Oomori1 , K.  Abe2 , S.  Takagi3
  • 1Department of Gastroenterology, Japanese Red Cross Sendai Hospital, Sendai, Japan
  • 2Department of Pathology, Japanese Red Cross Sendai Hospital, Sendai, Japan
  • 3Department of Gastroenterology, Iwate Prefectural Iwai Hospital, Ichinoseki, Japan
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Publication History

Publication Date:
19 June 2009 (online)

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Henoch–Schönlein purpura (HSP) is a systemic disease characterized by the deposition of immune complexes and involving multiple organs [1]. One of the organs commonly affected is the gastrointestinal tract. Since approximately 15 % of patients with HSP develop purpura after the appearance of digestive symptoms [2], early diagnosis by detection of gastrointestinal lesions using endoscopy and immediate treatment are necessary. Here, we report two cases of HSP examined by chromoendoscopy with indigo carmine contrast. This procedure clearly delineates the endoscopic features of active ileac lesions of HSP, and has also been proven as useful for treatment assessment.

References

  • 1 Szer I S. Henoch–Schönlein purpura.  Curr Opin Rheumatol. 1994;  6 25-31
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  • 2 Auringer S T, Scharling E S, Sumner T E. CT of the pediatric gastrointestinal tract.  Radiol Clin North Am. 1996;  34 701-715
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  • 3 Nishiyama R, Nakajima N, Ogihara A. et al . Endoscope images of Schonlein–Henoch purpura.  Digestion. 2008;  77 236-241
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S. Oomori

Department of Gastroenterology,
Japanese Red Cross Sendai Hospital

2-43-3 Yagiyama-honcho
Taihaku-ku
Sendai
Miyagi Prefecture 982-8501
Japan

Fax: +81-22-2431101

Email: goodluck-ohmori@mta.biglobe.ne.jp

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