Tongue and esophageal involvement in Henoch-Schonlein purpura: A case report

Tongue and esophageal involvement in Henoch-Schonlein purpura: A case report

Henoch-Schonlein purpura (HSP) is the most common form of systemic vasculitis that primarily affects children. It is characteristically involving skin, joints, gastrointestinal tract, kidneys, central nervous system and scrotum. Gastrointestinal involvement is occur in 51-58% of children and manifesting as abdominal pain, nausea, vomiting, diarrhea and gastrointestinal hemorrhage; but the involvement of esophagus is rarely reported. Here a case of HSP with involvement of tongue, esophagus and stomach is reported in an adolescent patient.

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  • Lin SJ, Huang JL. Henoch-Schonlein purpura in Chinese children and adults. Asian Pac J Allergy Immunol. 1998;16(1):21-5.
  • Tizard EJ. Henoch-Schonlein purpura. Arch Dis Child. 1999;80(4):380-3.
  • Sakagami S , noda H , koshino Y , shinpo M , chiyo H , yamazaki T , et al gastrointestinal tract lesion in a case of schonlein–henoch purpura associated with melena and review of 32 cases in japans . gastroenterological endosc 1988;30:1250- 4
  • Tomomasa, T.Hsu, J. Y.Itoh, K.Kuroume, T. Endoscopic findings in pediatric patients with Henoch-Schonlein purpura and gastrointestinal symptoms. J Pediatr Gastroenterol Nutr1987; 6(5): 725-9
  • 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(3):143-53.
  • Ayoub EM, Nelson B, Shulman ST, Barrett DJ, Campbell JD, Armstrong G, et al. Group A streptococcal antibodies in subjects with or without rheumatic fever in areas with high or low incidences of rheumatic fever. Clin Diagn Lab Immunol.2003;10(5):886-90.
  • Novak J, Szekanecz Z, Sebesi J, Takats A, Demeter P, Bene L, et al. Elevated levels of anti- Helicobacter pylori antibodies in Henoch- Schonlein 2003;36(5):307-11. Autoimmunity.
  • Sussman M, Jones JH, Almeida JD, Lachmann PJ. Deficiency of the second component of complement purpura and presence of mycoplasma in the serum. Clin Exp Immunol. 1973;14(4):531-9.
  • Cecchi R, Torelli E. Schonlein-Henoch purpura in association with duodenal ulcer and gastric Helicobacter pylori infection. J Dermatol. 1998;25(7):482-4.
  • Nathan K, Gunasekaran TS, Berman JH. Recurrent purpura. J Clin Gastroenterol. 1999;29(1):86-9. Henoch-Schonlein
  • Chang WL, Yang YH, Lin YT, Chiang BL. Gastrointestinal Schonlein purpura: a review of 261 patients. Acta Paediatr. 2004;93(11):1427-31. in Henoch
  • Gunasekaran TS, Berman J, Gonzalez M. Duodenojejunitis: is it idiopathic or is it Henoch- Schonlein purpura without the purpura? J Pediatr Gastroenterol Nutr. 2000;30(1):22-8.
  • Deguchi, M.Shiraki, K.Itoh, N.Konishi, T.Takase, K.Nakano, T. Esophageal involvement in adult- onset Schonlein-Henoch purpura. Gastrointest Endosc. 2001; 53(2): 241-4.