Schönlein-Henoch vasculitis and chronic Helicobacter pylori associated gastritis and duodenal ulcer: a case report.

R. Mozrzymas, E. S. d'Amore, G. Montini, G. Guariso

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Abstract

We describe the case of a child with Schönlein-Henoch purpura (SHP), bleeding duodenal ulcer and Helicobacter pylori (H. pylori) associated gastritis. 5-year-old girl was hospitalized with typical symptoms of SHP. On the third day, the child has several episodes of hematemesis with bright red blood, accompanied by increased pain of the epigastric region. Gastroduodenal endoscopy revealed signs of atrophic gastritis in the antrum, duodenitis with diffuse petechiae, small erosions and bleeding ulcer. The gastric biopsy showed a moderately severe chronic gastritis with activity and H. pylori was detected. The therapy with ranitidine, metronidazole and amoxycillin was introduced for a period of 30 days. At follow-up 2 months later, clinical examination and routine laboratory tests were normal. A repeated endoscopy revealed no evidence of lesions and H. pylori negative gastric biopsy. In our case, the associated chronic antral gastritis and H. pylori infection may well have aggravated the gastrointestinal symptoms of SHP. We feel it would be useful to check for H. pylori in patients with gastrointestinal manifestations of SHP, such as bleeding and important epigastric pain.

Original languageEnglish
Pages (from-to)467-468
Number of pages2
JournalPediatria Medica e Chirurgica
Volume19
Issue number6
Publication statusPublished - Nov 1997

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Gastritis
Duodenal Ulcer
Schoenlein-Henoch Purpura
Vasculitis
Helicobacter pylori
Hemorrhage
Endoscopy
Stomach
Duodenitis
Biopsy
Hematemesis
Atrophic Gastritis
Pain
Ranitidine
Purpura
Amoxicillin
Metronidazole
Helicobacter Infections
Ulcer

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Schönlein-Henoch vasculitis and chronic Helicobacter pylori associated gastritis and duodenal ulcer : a case report. / Mozrzymas, R.; d'Amore, E. S.; Montini, G.; Guariso, G.

In: Pediatria Medica e Chirurgica, Vol. 19, No. 6, 11.1997, p. 467-468.

Research output: Contribution to journalArticle

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