Çocuk Sağlığı ve Hastalıkları Dergisi
2011 , Vol 54 , Num 3
*Atakan Comba1, Özlem Kırmemiş1, Gönül Çaltepe2, Hülya Nalçacıoğlu1, Ayhan Gazi Kalaycı3
Ondokuz Mayıs Üniversitesi Tıp Fakültesi 1Pediatri Uzmanı, 2Pediatri Yardımcı Doçenti, 3Pediatri Profesörü
Gastrointestinal involvement is common in Henoch-Schönlein purpura, whereas
life-threatening gastrointestinal bleeding is very rare. A seven-year-old male
patient who was diagnosed with Henoch-Schönlein purpura four days before
admitted with rectal bleeding and impaired general well-being. Palpable
purpuric rash on the lower extremities and a clinical picture of shock were
observed during the physical examination. His first hemoglobin value was
17 g/dl. Intravenous fluid, erythrocyte suspension and methylprednisolone
were administered. The patient’s condition improved and he was discharged
to continue follow-up as an outpatient. In the case of gastrointestinal system
involvement, early administration of steroid therapy reduces the risk of
complications and improves the clinical outcome. It is important to bear in
mind that in the early stages of massive bleeding, fluid loss may be more
evident than blood loss, so hemoconcentration may be observed; hence, vital
findings deserve more attention than laboratory results.
Anahtar Kelimeler :
Henoch-Schönlein purpurası, masif gastrointestinal sistem kanaması,
hemokonsantrasyon, hipovolemik şok.
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