Fatal Henoch-Schonlein Purpura in an Adult With Dieulafoy Lesions
JCR: Journal of Clinical Rheumatology, 08/08/2012
Cristescu DA et al. – The authors report a severe case of HSP in an adult causing renal failure and gastrointestinal (GI) hemorrhage. Despite aggressive treatment with corticosteroids, cyclophosphamide, and plasmapheresis, the patient developed massive GI bleeding from 2 Dieulafoy lesions and died weeks after bowel resection. Although uncommon, when massive GI hemorrhage occurs, actively bleeding Dieulafoy lesions, although uncommon, should be suspected and evaluated early.