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

Abstract:

RATIONALE:Henoch-Schönlein 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.

journal_name

Medicine (Baltimore)

journal_title

Medicine

authors

Yi F,Bai Z,Li Y,Xu X,Guo X,Qi X

doi

10.1097/MD.0000000000018602

subject

Has Abstract

pub_date

2020-01-01 00:00:00

pages

e18602

issue

1

eissn

0025-7974

issn

1536-5964

pii

00005792-202001030-00047

journal_volume

99

pub_type

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