Erschienen in:
01.02.2009 | Case Report
Henoch-Schönlein pupura complicated by perforation of the gallbladder
verfasst von:
Atsushi Hashimoto, Reiko Matsushita, Nobuko Iizuka, Miho Kimura, Toshimichi Matsui, Sumiaki Tanaka, Akira Ishikawa, Hirahito Endo, Shunsei Hirohata
Erschienen in:
Rheumatology International
|
Ausgabe 4/2009
Einloggen, um Zugang zu erhalten
Abstract
Henoch-Schönlein purpura is a systemic vasculitis of small vessels characterized by purpura, arthralgias, glomerulonephritis and gastrointestinal involvements which can cause intestinal perforation. A 75-year-old man with renal dysfunction and palpable purpura (petechiae) of which dermal specimen showed leukocytoclastic vasculitis was diagnosed as Henoch-Schönlein purpura. Corticosteroid and cyclosporine were effective, but subsequently he developed pneumocystis pneumonia. After he improved by treatment with trimethoprim-sulfamethoxazole, he presented sudden abdominal pain, caused by perforation of the gallbladder. Histological analysis revealed infiltration of inflammatory cells with bleeding in the gallbladder wall at the site of perforation. It is suggested that inflammatory disruption of capillary walls might lead to the perforation of the gallbladder.