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  • Title: Fatal Henoch-Schönlein purpura in an adult with Dieulafoy lesions.
    Author: Cristescu DA, Yuvienco C, Schwartz S.
    Journal: J Clin Rheumatol; 2012 Aug; 18(5):253-6. PubMed ID: 22832298.
    Abstract:
    Henoch-Schönlein purpura (HSP) is considered a benign disease of children. We report a severe case of HSP in an adult causing renal failure and gastrointestinal (GI) hemorrhage. Despite aggressive treatment with corticosteroids, cyclophosphamide, and plasmapheresis, the patient developed massive GI bleeding from 2 Dieulafoy lesions and died weeks after bowel resection. Although uncommon, when massive GI hemorrhage occurs, actively bleeding Dieulafoy lesions, although uncommon, should be suspected and evaluated early.
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