Korean Journal of Nephrology 2000;19(6):1168-1172.

hecoch-Schonlein 자반증 환자에서 발생한 단백 상실성 장병증 : 스테로이드 치험 1예 (Protein Losing Enteropathy in a Patient with Henoch-Schonlein Purpura : Successful Treatment with Steroid)

황수은(Soo Eun Hwang),김영옥(Young Ok Kim),백지연(Jee Yeon Baek),서정필(Jung Pil Seo),김은일(Eun Il Kim),윤선애(Sun Ae Yoon),박종원(Jong Won Park),방병기(Byung Gee Bang)

Abstract

Although gastrointestinal manifestations are very common in patients with Henoch-Schonlein purpura, protein losing enteropathy is a rare complication. We here report a case of protein losing enteropathy in a patient with Henoch-Schonlein purpura. A 52-year old woman presented with lower abdominal pain, purpura and edema on lower extremity. Serum albumin was 1.9g/dL and 24 hour urine protein was 4.7g/day. Skin and kidney biopsy revealed leukocytoclastic vasculitis and mesangial proliferative glomerulonephritis consistent with Henoch-Schonlein purpura, respectively. Colonoscopy showed diffuse mucosal erosion at right colon. Tc-human serum albumin scintigraphy and fecal alpha-1-antitrypsin clearance confirmed protein losing enteropathy. The protein losing enteropathy improved with steroid treatment.