Atypical tumour-like involvement of the colon in Henoch-Schönlein purpura successfully treated with the administration of factor XIII
著者
安藤, 勝祥
(Ando, Katsuyoshi)
Fujiya, Mikihiro
Sugiyama, Ryuji
Nata, Toshie
Nomura, Yoshiki
Ueno, Nobuhiro
Kashima, Shin
Ishikawa, Chisato
Inaba, Yuhei
Ito, Takahiro
Moriichi, Kentaro
Okamoto, Kotaro
Ikuta, Katsuya
Watari, Jiro
Mizukami, Yusuke
Kohgo, Yutaka
上位タイトル
BMJ Case Reports
Vol.2011,
(2011.
05)
識別番号
ISSN
1757-790X
DOI
10.1136/bcr.08.2010.3251
抄録
Henoch-Schönlein purpura (HSP) is a type of systemic vasculitis of the small vessels, which frequently involves the skin, kidney and gastrointestinal tract. While the typical intestinal features of HSP include diffuse mucosal redness, small ring-like petechiae and haemorrhagic erosions, tumour-like lesions are rarely observed. The current study presents a rare case of HSP with an intestinal tumour-like lesion in the caecum. The intestinal lesion caused fresh melaena, and was completely resolved with the administration of factor XIII as described in previously reported cases. It is important to immediately undergo proper treatment for improving tumour-like lesions which may cause severe complications, such as excessive haemorrhage and stricture.
