A good response to glucocorticoid for Henoch-Schonlein purpura with abdominal pain and gastrointestinal bleeding in an adult A CARE case report

被引：4
作者：
Yi, Fangfang [1 ,2 ]
Bai, Zhaohui [1 ,3 ]
Li, Yingying [1 ,4 ]
Xu, Xiangbo [1 ,3 ]
Guo, Xiaozhong [1 ]
Qi, Xingshun [1 ]
机构：
[1] Gen Hosp Northern Theater Command, Dept Gastroenterol, 83 Wenhua Rd, Shenyang 110840, Liaoning, Peoples R China
[2] Dalian Med Univ, Postgrad Coll, Dalian, Peoples R China
[3] Shenyang Pharmaceut Univ, Postgrad Coll, Shenyang, Peoples R China
[4] Jinzhou Med Univ, Postgrad Coll, Jinzhou 121001, Peoples R China
来源：
MEDICINE | 2020年 / 99卷 / 01期
关键词：
abdominal pain; adult; gastrointestinal bleeding; glucocorticoid; Henoch-Schonlein purpura; CLINICAL-MANIFESTATIONS; CLASSIFICATION; CHILDHOOD; OUTCOMES;
D O I：
10.1097/MD.0000000000018602
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Rationale: Henoch-Schonlein purpura (HSP) is a small-vessel vasculitis that has been extensively studied in children, but little is known about its natural history in adults. There is no consensus regarding the treatment of glucocorticosteroids use for HSP. The efficacy of glucocorticoid for preventing from severe complications or relapse is also controversial in HSP. Patient concerns: A 21-year-old male was admitted to the hospital due to abdominal pain for more than 20 days, hematochezia for more than 10 days, and rash for 2 days. Diagnoses: The diagnosis of HSP is based on the European League against Rheumatism and the Paediatric Rheumatology European Society in 2006. Interventions: The patient received glucocorticosteroids treatment for 17 days at the time of first hospitalization. Outcomes: The abdominal pain and hematochezia completely disappeared on the 6th day after the use of glucocorticosteroids, and purpura completely disappeared on the 8th day. Lessons: Our patient has a good response to glucocorticoid. Glucocorticosteroids may be effective for the treatment of HSP.
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页数：5
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