Published online July 31, 2006
PEDIATRICS Vol. 118 No. 3 September 2006, pp. e904-e906 (doi:10.1542/peds.2005-3111)
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EXPERIENCE & REASON

Use of Wireless Capsule Endoscopy in the Management of Severe Henoch-Schonlein Purpura

Daniel L. Preud'Homme, MDa,b, Sonia Michail, MDa,b, Cathy Hodges, RNa, Tonya Milliken, RNa and Adam G. Mezoff, MDa,b

a Gastroenterology and Nutrition, Dayton Children's Hospital, Dayton, Ohio
b Department of Pediatrics, Boonshoft School of Medicine, Wright State University, Dayton, Ohio

ABSTRACT

Henoch-Schonlein purpura is a multisystem vasculitis that primarily affects children. Characteristic symptoms include purpura of the lower extremities and buttocks, abdominal pain, arthralgias, and hematuria. Gastrointestinal bleeding occurs in ~50% of children and, although often self-limiting, can be significant. Wireless capsule endoscopy has been found to be safe and effective for children over 10 years of age. It is now the preferred imaging modality for evaluating gastrointestinal bleeding from the small intestine. Here we report an unusual case of chronic Henoch-Schonlein purpura vasculitis, primarily affecting the gastrointestinal tract, in which wireless capsule endoscopy was helpful in evaluating and directing treatment options.

Key Words: gastrointestinal bleeding • Henoch-Schonlein syndrome

Abbreviations: HSP, Henoch-Schonlein purpura • WCE, wireless capsule endoscopy

Accepted Apr 10, 2006.


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eLetters:

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Is capsule endoscopy necessary in the evaluation of gastrointestinal Henoch-Schonlein vasculitis?
Jae Il Shin, et al.
Pediatrics Online, 23 Aug 2006 [Full text]