Henoch-Schönlein vasculitis in an adult presenting with upper gastrointestinal bleeding - endoscopic findings: A case report

Öz

While Henoch–Schönlein purpura is the most common acute systemic vasculitis in childhood, it is rare in adults. It affects small vessels and is the most common cause of palpable purpura. In adults, the gastrointestinal system and kidneys are the most common sites of involvement after the skin. Gastrointestinal bleeding is usually occult; massive gastrointestinal bleeding is rare. We report a case who admitted to our clinic with the complaint of abdominal pain who presented massive upper gastrointestinal bleeding and disrupted hemodynamics after hospitalization.

Anahtar Kelimeler

• Henoch-Schönlein vasculitis, upper gastrointestinal bleeding.

Yetişkin yaşta akut üst gastrointestinal sistem kanaması ile prezente olan Henoch-Schönlein vasküliti, endoskopik bulguları: Olgu sunumu

Öz

Henoch –Schönlein purpurası çocuklarda en sık görülen vaskülit iken, eriş-kinde nadir görülen sistemik vaskülittir. Küçük damarları etkiler ve sıklıkla palpabl purpura ile prezente olur. Yetişkinde cilt tutulumu sonrası en fazla böbrek ve gastrointestinal tutulum olur. Gastrointestinal tutulumda sıklıkla gastrointestinal kanama gözlenir fakat masif gastrointestinal kanama nadirdir. Karın ağrısı şikayeti ile polikliniğimize başvuran ve yatışı sonrasında hemodinamiyi bozan masif üst gastrointestinal kanama görülen erişkin erkek olgu sunulmuştur.

Anahtar Kelimeler

• Henoch-Schönlein vaskülit, üst gastrointestinal kanama

Kaynakça

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