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A Case of Henoch-Sch$\ddot{o}$nlein Purpura Involving Colon Mimicking Colon Cancer  

Park, Seung-Hoon (Department of Internal Medicine, Institute for Digestive Research, Digestive Disease Center, Soonchunhyang University College of Medicine)
Kim, Jin-Oh (Department of Internal Medicine, Institute for Digestive Research, Digestive Disease Center, Soonchunhyang University College of Medicine)
Kim, Hyun-Gun (Department of Internal Medicine, Institute for Digestive Research, Digestive Disease Center, Soonchunhyang University College of Medicine)
Lee, Tae-Hee (Department of Internal Medicine, Institute for Digestive Research, Digestive Disease Center, Soonchunhyang University College of Medicine)
Kim, Wan-Jung (Department of Internal Medicine, Institute for Digestive Research, Digestive Disease Center, Soonchunhyang University College of Medicine)
Hong, Sung-Wook (Department of Internal Medicine, Institute for Digestive Research, Digestive Disease Center, Soonchunhyang University College of Medicine)
Jun, Sung-Gon (Department of Internal Medicine, Institute for Digestive Research, Digestive Disease Center, Soonchunhyang University College of Medicine)
Jin, So-Young (Department of Pathology, Soonchunhyang University College of Medicine)
Publication Information
Clinical Endoscopy / v.42, no.5, 2011 , pp. 306-310 More about this Journal
Abstract
Henoch-Sch$\ddot{o}$nlein purpura is the most common form of systemic vasculitis in children but occurs rarely in adults. Henoch-Sch$\ddot{o}$nlein purpura has characteristic features of a purpuric skin rash, abdominal pain, arthralgia, and abnormal urinary findings. Gastrointestinal tract involvement is characterized by abdominal pain and gastrointestinal bleeding. Recently, we experienced a case of Henoch-Sch$\ddot{o}$nlein purpura with gastrointestinal involvement mimicking colon cancer in a 41-year-old female who complained of erythematous macules, arthralgia, and abdominal pain. The initial colonoscopic findings and computed tomographs failed to rule out colon cancer, but serial endoscopic examinations and clinical manifestations revealed colonic involvement of Henoch-Sch$\ddot{o}$nlein purpura.
Keywords
Henoch-Sch$\ddot{o}$nlein purpura; Colon cancer; Colonoscopy; Colon Purpura;
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