Jornal de relatos de casos clínicos

Mesenteric Panniculitis as Cause of Abdominal Pain in Henoch-Schonlein Purpura

Abstract

Rabih Emile Tabet and Jean-Claude Kheirallah

Henoch-Schönlein purpura (HSP), also known as anaphylactoid purpura [1], is the most common form of systemic vasculitis in children [2,3]. Most cases occur between the ages of 4 and 7 years [1]. HSP has several clinical and laboratory manifestations. Palpable purpura can be identified in practically all patients, most of whom develop polyarthralgia with a lack of frank arthritis. Gastrointestinal manifestations occur in 70% of children and mainly consist of colicky abdominal pain, primarily due to intestinal submucosal bleeding and edema that can lead to intussusception.