Abstract
Introduction: Henoch-Schonleinpurpura (HSP) is the most common vasculitis of childhood and is a multisystemic disease which is characterized by skin, joint, gastrointestinal (GI) and renal small vessels involvement. Case: Seven-year-old male patient was admitted with complaints of nausea and vomiting and abdominal pain started three days ago. Laparotomy was performed to the patient with the diagnosis of acute abdominal pain. Any other pathology than the jejunum edema was observed in the first 10 cm field was not observed. Appendectomy performed and abdomen was closed. Postoperative fifth day pain in the knee joint and melena had occurred. In the lower and upper gastrointestinal endoscopy, diffuse hyperemia and hemorrhage were observed in the gastric mucosa, duodenum and rectum. Intravenous steroids treatment was started. Skin rashes were observed on the arms of the patient at 11. day of hospitalization. The patient who response to steroid therapy was discharged with healing at the 15th day of hospitalization. Discussion: Purpuric skin lesions are the most common finding in the HSP and generally observed before the GI involvement. In the situation of the GI involvement occurred before the skin involvement, the abdominal pain might be similar to the appendicitis pain. Key words: Henoch-Schonlein Purpura, severe system involvement, gastrointestinal bleeding.
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