Acute appendicitis in two children with Henoch-Schönlein purpura

In Henoch-Schönlein purpura (HSP), involvement of the ileum and ascending colon with vasculitis can mimic appendicitis and cause unnecessary appendicectomy. A 13-year-old boy presented with signs of HSP and abdominal pain. He was treated with prednisolone (2 mg/kg/day) for 10 days, but there was no...

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Bibliographic Details
Published in:Paediatrics and international child health 2012-11, Vol.32 (4), p.244-245
Main Authors: Bilici, Salim, Akgun, Cihangir, Melek, Mehmet, Peker, Erdal, Akbayram, Sinan, Bulut, Gulay, Dogan, Murat
Format: Article
Language:English
Subjects:
Abdominal Pain - etiology
Adolescent
Anti-Inflammatory Agents - administration & dosage
Appendicitis
Appendicitis - diagnosis
Appendicitis - pathology
Biological and medical sciences
Child
Dermatology
Female
Gastroenterology. Liver. Pancreas. Abdomen
General aspects
Henoch-Schönlein purpura
Histocytochemistry
Humans
Ileum - pathology
Laparotomy
Male
Medical sciences
Microscopy
Other diseases. Semiology
Prednisolone - administration & dosage
Purpura, Schoenlein-Henoch - complications
Purpura, Schoenlein-Henoch - drug therapy
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Vascular disorders of the skin
Vasculitis
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Summary:In Henoch-Schönlein purpura (HSP), involvement of the ileum and ascending colon with vasculitis can mimic appendicitis and cause unnecessary appendicectomy. A 13-year-old boy presented with signs of HSP and abdominal pain. He was treated with prednisolone (2 mg/kg/day) for 10 days, but there was no improvement. At laparotomy he had acute suppurative appendicitis. A 12-year-old girl presented with HSP associated with abdominal pain and bloody diarrhoea and at laparotomy was also found to have suppurative appendicitis. Both patients had vasculitic areas in the ileum. In HSP, although suppurative appendicitis is rare, it should always be considered and appropriate investigations, including ultrasonography, undertaken.
ISSN:2046-9047
2046-9055
DOI:10.1179/2046905512Y.0000000005