알레르기성 자반증 환자에서 캡슐내시경으로 공장궤양을 진단한 1예
A Case of Henoch Schonlein Purpura with Gastrointestinal Bleeding Due to Jejunal Ulcer by Capsule Endoscopy

고신대학교 의과대학 학술지 2012년 27권 1호 p.45 ~ p.49

이용강(Lee Yong-Kang) - 연세대학교 의과대학 내과학교실
오탁근(Oh Tak-Geun) - 연세대학교 의과대학 내과학교실
최아라(Choi A-Ra) - 연세대학교 의과대학 내과학교실
이지훈(Lee Ji-Hoon) - 연세대학교 의과대학 내과학교실
김미나(Kim Mi-Na) - 연세대학교 의과대학 내과학교실
홍성필(Hong Sung-Pil) - 연세대학교 의과대학 내과학교실

Abstract

Henoch-Schonlein purpura (HSP) is the most common form of systemic vasculitis in children. Palpable purpura, arthralgia, arthritis, abdominal pain and renal involvement are the major clinical manifestations. Gastrointestinal involvement is related with abdominal pain and bleeding.
We described a 71 year-old female experienced acute exacerbation of HSP presented with gastrointestinal bleeding. She was hospitalized for hematemesis and diagnosed duodenitis by esophagogastroduonenoscopy (EGD). Duodenitis was improved at EGD checked in 7 days. She still complained of melena and abdominal pain. There were no abnormal findings at sigmoidoscopy. Jejunal ulcer and purpura were diagnosed by capsule endoscopy. Symptoms were relieved after administration of systemic steroid. But she needed renal replacement therapy for 3 months.
Small bowel ulcer diagnosed by capsule endoscopy in patients with HSP was rarely described in Korean literature. This case suggests that capsule endoscopy have a role in diagnosis of small bowel ulcer and its severity in HSP with gastrointestinal symptom.

키워드

Capsule endoscopy, Gastrointestinal hemorrhage, Henoch-Schonlein pupura
원문 및 링크아웃 정보
등재저널 정보
학술진흥재단(KCI) 
주제코드
주제명(Target field)
연구대상(Population)
연구참여(Sample size)
대상성별(Gender)
질병특성(Condition Category)
연구환경(Setting)
연구설계(Study Design)
연구기간(Period)
중재방법(Intervention Type)
중재명칭(Intervention Name)
키워드(Keyword)
유효성결과(Recomendation)
Jejunal ulcer and purpura were diagnosed by capsule endoscopy.
연구비지원(Fund Source)
근거수준평가(Evidence Hierarchy)
출판년도(Year)
참여저자수(Authors)
대표저자
DOI
KCD코드
ICD 03
건강보험코드