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Canadian Journal of Gastroenterology
Volume 12, Issue 1, Pages 71-74
Brief Communication

Hemorrhagic Intestinal Henoch-Schonlein Purpura Complicated by Cytomegalovirus Infection

Phong Nguyen-Ho, Laurence D Jewell, and Alan BR Thomson

Departments of Medicine (Gastroenterology) and Laboratory Medicine and Pathology (Anatomical Pathology), University of Alberta Hospitals, Edmonton, Alberta, Canada

Received 26 June 1997; Accepted 12 November 1997

Copyright © 1998 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


A 54-year-old man on hemodialysis for acute chronic renal failure and on corticosteroids for Henoch-Schonlein purpura developed massive hematochezia. After extensive clinical investigation, an ileal bleeding site was identified and surgically removed. Pathological examination of the diseased bowel segment revealed an extensive vasculitis with mucosal ulceration attributable to Henoch-Schonlein purpura as well as florid cytomegalovirus infection.