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10.1097/MD.0000000000000492

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suck abstract from ncbi


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pmid25654396
      Medicine+(Baltimore) 2015 ; 94 (5 ): e492
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  • Terminal ileitis induced by Henoch-Schonlein purpura that presented as acute appendicitis: a case report #MMPMID25654396
  • Fan Z ; Tian X ; Pan J ; Li Y ; Zhang Y ; Jing H
  • Medicine (Baltimore) 2015[Feb]; 94 (5 ): e492 PMID25654396 show ga
  • Henoch-Schonlein purpura (HSP) is a self-limited autoimmune disease, the cause of which is not clear. Gastrointestinal involvement is often the main symptom of HSP. We report an unusual and rare case in a patient who was diagnosed with HSP. This is the second report of terminal ileitis induced by HSP that presented as acute appendicitis. We report a 21-year-old man who presented with right lower abdominal pain, and was diagnosed with acute appendicitis. Terminal ileitis was diagnosed intraoperatively, and when a rash occurred postoperatively, the final diagnosis was HSP. When the rash occurred, HSP was diagnosed and methylprednisolone was administered for 5 days. The diagnosis of HSP is difficult to establish, especially when the purpura occurs after gastrointestinal involvement; thus, abdominal pain should not be ignored and HSP should be considered.
  • |Adult [MESH]
  • |Appendicitis/*diagnosis [MESH]
  • |Crohn Disease/*diagnosis/*etiology [MESH]
  • |Diagnosis, Differential [MESH]
  • |Exanthema [MESH]
  • |Humans [MESH]
  • |IgA Vasculitis/*complications/*diagnosis [MESH]


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