What is the role of endoscopy in the workup of Henoch-Schönlein purpura (IgA vasculitis)?

Updated: Oct 28, 2020
  • Author: Rajendra Bhimma, MBChB, MD, PhD, DCH (SA), FCP(Paeds)(SA), MMed(Natal); Chief Editor: Craig B Langman, MD  more...
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Answer

Endoscopy may be needed to evaluate epigastric pain, hematemesis, and melena. Endoscopy may reveal multiple irregular ulcers, mucosal redness, and petechiae in the duodenum. The second part of the duodenum is sometimes predominantly affected. Ulcerating lesions accompanied by hematomalike protrusions can be detected in patients with histopathologically proven leukocytoclastic vasculitis.


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