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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.