Table of Contents Author Guidelines Submit a Manuscript
Case Reports in Rheumatology
Volume 2016 (2016), Article ID 3957605, 3 pages
http://dx.doi.org/10.1155/2016/3957605
Case Report

Adult Onset Henoch-Schonlein Purpura and Intussusception: A Rare Presentation

1Department of Internal Medicine, Creighton University School of Medicine, 601 N 30th Street No. 5800, Omaha, NE 68131, USA
2Department of Rheumatology, Creighton University School of Medicine, 601 N 30th Street No. 5800, Omaha, NE 68131, USA

Received 10 June 2016; Accepted 8 September 2016

Academic Editor: Jamal Mikdashi

Copyright © 2016 Mridula Krishnan and Joseph Nahas. 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.

Abstract

We present an unusual case of a young 26-year-old male who was diagnosed with Henoch-Schonlein Purpura (HSP). Initial presentation was primarily mild gastrointestinal symptoms, which progressed to a life threatening intussusception and subsequently resolved with prompt glucocorticoid use rather than typical surgical intervention. Of importance, the patient’s initial gastrointestinal symptoms without associated skin manifestations made the diagnosis difficult. In conclusion, it is important to recognize uncommon presentations of HSP as it may lead to life threatening complications and surgical intervention may be avoided with prompt treatment.