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Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Medicine+(Baltimore) 2015 ; 94 (5): ä Nephropedia Template TP
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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): ä PMID25654396show 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.