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A case report of adult-onset IgA vasculitis with repeated migrating abdominal lesions and manifestations
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- HAYASHI Tomokazu
- Department of Gastroenterology, Oita City Medical Association Almeida Memorial Hospital
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- OKAMOTO Osamu
- Department of Dermatology, Oita City Medical Association Almeida Memorial Hospital
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- FUKUCHI Satoshi
- Department of Gastroenterology, Oita City Medical Association Almeida Memorial Hospital
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- HIROSHIMA Yasuhisa
- Department of Gastroenterology, Oita City Medical Association Almeida Memorial Hospital
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- KINOSHITA Keisuke
- Department of Gastroenterology, Oita City Medical Association Almeida Memorial Hospital
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- KAJIMOTO Nobuaki
- Department of Gastroenterology, Oita City Medical Association Almeida Memorial Hospital
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- GAMACHI Ayako
- Department of Clinical Laboratory, Oita City Medical Association Almeida Memorial Hospital
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- INOUE Kunimitsu
- Department of Gastroenterology, Oita City Medical Association Almeida Memorial Hospital
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- MURAKAMI Kazunari
- Department of Gastroenterology, Faculty of Medicine, Oita University
Bibliographic Information
- Other Title
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- ステロイド減量にともない腸管の罹患部位が移動しつつ症状増悪を繰り返した成人発症IgA血管炎の1例
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Description
<p>A 68-year-old woman was referred to our hospital due to widespread purpura on her legs. A diagnosis of IgA vasculitis was made based on the findings of a skin biopsy. However, after being admitted to our hospital, abdominal pain and lower gastrointestinal hemorrhaging developed. The purpura disappeared gradually, whereas the abdominal pain migrated and persisted. Treatment with prednisolone was initiated, and the clinical course improved temporarily. However, her severe abdominal symptoms recurred while, in addition, the intestinal tract lesions migrated after the prednisolone dosage was tapered. Therefore, intravenous high-dose methylprednisolone was administered followed by oral steroids. The dose was thereafter carefully tapered, and the steroid dose reduction was successful with this treatment. We herein report the clinical course of the case along with a review of the relevant literature.</p>
Journal
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- Nippon Shokakibyo Gakkai Zasshi
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Nippon Shokakibyo Gakkai Zasshi 117 (5), 402-412, 2020-05-10
The Japanese Society of Gastroenterology
