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EndoTODAY ³»½Ã°æ ±³½Ç


[Henoch Schonlein purpura. ÀÚ¹ÝÁõ] - ðû

2020-12-10. »ï¼º¼­¿ïº´¿ø ¸ñ¿ä³»½Ã°æÁý´ãȸ


1. Representative cases

60´ë ¿©¼ºÀÌ º¹Åë°ú ÇǺιßÁøÀ¸·Î ³»¿øÇÏ¿´½À´Ï´Ù. º¸Åë ¹ßÁøÀÌ ³ª¿À±â Àü±îÁö Áø´ÜÀÌ ½±Áö ¾Ê½À´Ï´Ù. ³»½Ã°æÀ» ÇÏ¿´´õ¶óµµ...

16¼¼ ³²ÇлýÀÇ ÀüÇüÀûÀÎ HS purpura¿´´Âµ¥ ³»½Ã°æ Áý´ãȸ¿¡ Áõ·Ê·Î ¿Ã¶ó¿Ô½À´Ï´Ù.

¾Æ¹«·± ¼³¸íµµ ¾øÀÌ ¾Æ·¡ »çÁø ÇÑ À常 ´Þ¶û ¿Ã¶ó¿Ô½À´Ï´Ù. ¹ßÁøÀÌ ÀÖ¾ú´Ù´Â Á¤º¸°¡ ¾ø¾ú´Âµ¥... ±èÀçÁØ ±³¼ö´Ô²²¼­ ¹Ù·Î HS purpura¸¦ ¸ÂÃ߼̽À´Ï´Ù. HS purpura´Â vasculitisÀ̱⠶§¹®¿¡ ½ÊÀÌÁöÀå Á¡¸·¿¡ ÁöÀúºÐÇÑ ±Ë¾çÀÌ »êÀçµÇ¾î ÀÖ´õ¶óµµ ±× »çÀÌ Á¡¸·Àº ºñ±³Àû Á¤»óÀ̶ó´Â °ÍÀÔ´Ï´Ù. Ư¡ÀûÀÎ ¼Ò°ßÀÌÁö¿ä. ¹°·Ð ±íÀº ±Ë¾çÀÌ ¾Æ´Ò ¼öµµ ÀÖ½À´Ï´Ù. ÀÚÁÖ º¸°í ¸¹ÀÌ º¸¸é µü º¸¸é ¾Ë°Ô µÇ´Â ±×·± º´ÀÔ´Ï´Ù.

HS purpra´Â ¹ßÁøÀÌ ³ª¿À±â Àü±îÁö Áø´ÜÀÌ ½±Áö ¾Ê´Ù°í ¸»¾¸µå·È½À´Ï´Ù. ±×·¯³ª Ç×»ó ±×·± °ÍÀº ¾Æ´Õ´Ï´Ù.


Sore throat ¹ß»ý 1ÁÖÀÏ ÈÄ ÇÏÁöÀÇ rash°¡ ¹ß»ýÇÏ¿´°í 3ÀÏ ÈÄ melena°¡ ¹ß»ýÇÏ¿© ÀÀ±Þ½Ç ³»¿øÇÑ HS purpura (³²ÀÚ 60¼¼, 2021³â)


2. GI involvement of HS purpura

ÀϺ»ÀÇ case seriesÀε¥ ¿ì¸®¿Í Å©°Ô ´Ù¸£Áö ¾Ê¾Ò½À´Ï´Ù.

2014³â 11¿ù Endoscopy¿¡ °æºÏ´ëÇб³ ³»°ú¿¡¼­ Henoch Schonlein purpuraÀÇ ³»½Ã°æ ¼Ò°ß¿¡ ´ëÇÑ ³í¹®À» ¹ßÇ¥ÇÏ¿´½À´Ï´Ù (link).

Figure 1. The distribution of mucosal lesions in adult patients with Henoch Schonlein purpura and gastrointestinal hemorrhage in: a the upper gastrointestinal tract: and b the colon and terminal ileum (yellow squares: redness only, red squares: petechiae, green circles: erosion, and blue circles: ulcer).

Figure 2. Representative images in adult patients with Henoch Schonlein purpura and gastrointestinal hemorrhage showing redness (i), petechiae (ii), erosion (iii), and ulceration (iv) taken during: a upper gastrointestinal endoscopy; and b colonoscopy.


[More cases]

Rash and melena

Recurrent purpura and arthralgia for 20 years

Initial and followup colonoscopic findings before PD

Duodenal involvement of HSP

Colonic involvement of HSP

Colonic involvement of HSP

Colonic involvement of HSP

¿À·¡ Àü¿¡ º¸°íµÈ À»Áöº´¿ø Áõ·ÊÀÔ´Ï´Ù. ¼Ò³ú ÃâÇ÷ÀÌ µ¿¹ÝµÇ¾ú´Ù°í ÇÕ´Ï´Ù. µå¹® °æ¿ì¶ó°í »ý°¢ÇÕ´Ï´Ù.

¾Öµ¶ÀÚ Áõ·Ê ÆíÁö 27

¾Öµ¶ÀÚ Áõ·Ê ÆíÁö 27

¾Öµ¶ÀÚ Áõ·Ê ÆíÁö 27

© ÀÏ¿ø³»½Ã°æ±³½Ç ¹Ù¸¥³»½Ã°æ¿¬±¸¼Ò ÀÌÁØÇà. EndoTODAY Endoscopy Learning Center. Lee Jun Haeng.