Could intussusception be the first manifestation of Henoch-Schonlein purpura?

Year 2022, Volume: 47 Issue: 1, 474 - 476, 31.03.2022

İlknur Sürücü Kara , Mustafa Özdamar , Abdulkerim Kolkıran , Necla Aydın Peker , İsmail Topal

https://doi.org/10.17826/cumj.1029691

Abstract

Henoch-Schönlein purpura, leukocytoclastic vasculitis is the most common vasculitis of childhood. Immunoglobulin-A accumulates in the small veins of the skin, joints, gastrointestinal tract and kidney. The involvement of the skin in palpable purpuric rash is usually the first finding and basically shows the lower extremities and hips. Joints can be affected, kidneys can be affected. Complaints of gastrointestinal system usually occur one week after purpuric rash. The most common clinical features of the digestive system are abdominal pain and vomiting. The incidence of Intussusception in digestive tract involvement is about 1-5%. However, intussusception is not the first symptom. In our case, abdominal pain and Intussusception are the first findings. Typical rash appeared three days after operative. Second case in literature.

Keywords

Henoch-Schonlein purpura, Intussusception, children, vasculitis

Supporting Institution

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Project Number

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Intussusepsiyon Henoch-Schonlein purpurası'nın ilk tezahürü olabilir mi?

Abstract

Henoch-Schönlein purpurası, çocukluk çağının en sık görülen lökositoklastik vaskülitidir. Derinin küçük damarlarında, eklemlerde, gastrointestinal sistemde ve böbreklerde immünoglobulin A birikir. Ciltte palpe edilebilen purpura genellikle ilk bulgudur ve genellikle alt ekstremiteler ve kalçada görülür. Eklemler etkilenebilir, böbrekler etkilenebilir. Gastrointestinal sistem şikayetleri genellikle purpurik döküntüden bir hafta sonra ortaya çıkar. Sindirim sisteminin en sık görülen klinik özellikleri karın ağrısı ve kusmadır. Sindirim sisteminin tutulumunda intussusepsiyon insidansı yaklaşık % 1-5' tir. Ancak, intussusepsiyon ilk belirti değildir. Bizim olgumuzda karın ağrısı ve intussusepsiyon ilk bulgulardır. Operasyondan üç gün sonra tipik döküntüler gözlenmiştir.

Keywords

Henoch-Schonlein purpurası, intussusepsiyon, çocuklar, vaskülit

Project Number

no

References

• Stacy P. Ardoin EF. Vasculitis syndromes. In: Nelson Textbook of Pediatrics (Eds RM Kliegman, JWS Geme, NF Schor, RE Behrman):867-76. Philadelphia, Elsevier Saunders, 2011.
• S.Barron K. Vasculitis. In: Rudolph's Pediatrics (Eds CD. Rudolph, AM Rudolph, GE Lister, LR. First, AA. Gershon):810-2. New York, McGraw-Hill, 2011.
• Schaefer B, Soprano C. Five-year-old boy presenting with severe back pain, swelling, and refusal to walk. Clin Pediatr. 2014;53:95-7.
• Yang YH, Yu HH, Chiang BL. The diagnosis and classification of Henoch–Schönlein purpura: an updated review. Autoimmun Rev. 2014;13:355-8.
• Altınkaynak S, Ertekin V, Selimoglu MA. Association of Henoch-Schonlein purpura and hepatitis A. Journal of Emergency Medicine. 2006;30:219-20.
• Aydın M, Demirol M, Kurt A, Kurt N, Yılmaz E. The evaluation of our patients with Henoch-Schönlein purpura. Çocuk Dergisi. 2005;5:249-53.
• Trapani S, Micheli A, Grisolia F, Resti M, Chiappini E, Falcini F et al., Henoch Schonlein purpura in childhood: epidemiological and clinical analysis of 150 cases over a 5-year period and review of literature. Semin Arthritis Rheum. 2005;35:143-53.
• Özdemir H, Işik S, Buyan N, Hasanoglu E. Sonographic demonstration of intestinal involvement in Henoch-Schönlein syndrome. Eur J Radiol. 1995;20:32-4.
• Kim KY. Henoch-Schönlein purpura presenting as intussusception. Korean J Gastroenterol. 2017;69:372-6.