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Z Gastroenterol 2013; 51(1): 37-42
DOI: 10.1055/s-0032-1325470
Kasuistik
© Georg Thieme Verlag KG Stuttgart · New York

Erstmanifestation einer leukozytoklastischen Vaskulitis im Dickdarm: Fallbericht und differenzialdiagnostische Überlegungen

First Manifestation of a Leucocytoclastic Vasculitis in the Colon: Case Report and Differential Diagnostic Aspects
E. Schartner
1   III. Medizinische Abteilung für Innere Medizin und Psychosomatik, KH der Barmherzigen Schwestern Wien
,
D. Höflmayer
2   Pathologisch Bakteriologisches Institut, Sozialmedizinisches Zentrum Süd, Kaiser-Franz-Josef-Spital mit Gottfried von Preyer'schem Kinderspital, Wien
,
E.-M. Müller-Knespel
1   III. Medizinische Abteilung für Innere Medizin und Psychosomatik, KH der Barmherzigen Schwestern Wien
,
L. Dzirlo
1   III. Medizinische Abteilung für Innere Medizin und Psychosomatik, KH der Barmherzigen Schwestern Wien
,
I. Haunold
3   Chirurgische Abteilung, KH der Barmherzigen Schwestern Wien
,
M. Dawid
4   Dermatologische Ambulanz, Sozialmedizinisches Zentrum Süd, Kaiser-Franz-Josef-Spital mit Gottfried von Preyer'schem Kinderspital, Wien
,
D. Stanek-Kalchhauser
5   II. Medizinische Abteilung, KH der Barmherzigen Schwestern Wien
,
P. Weiss
1   III. Medizinische Abteilung für Innere Medizin und Psychosomatik, KH der Barmherzigen Schwestern Wien
,
M. Klimpfinger
2   Pathologisch Bakteriologisches Institut, Sozialmedizinisches Zentrum Süd, Kaiser-Franz-Josef-Spital mit Gottfried von Preyer'schem Kinderspital, Wien
› Author Affiliations
Further Information

Publication History

26 July 2012

06 September 2012

Publication Date:
11 January 2013 (online)

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Zusammenfassung

Berichtet wird über eine Patientin mit chronischer Diarrhö, die 8 Wochen nach Beginn der gastrointestinalen Symptomatik palpable Purpura an den unteren Extremitäten entwickelte. In den Biopsien von Dickdarm und Haut kann eine leukozytoklastische Vaskulitis nachgewiesen werden. Mögliche Auslöser oder zugrunde liegende Erkrankungen können nicht gefunden werden; es kommt zu einer Spontanremission. In Folge werden mögliche Differenzialdiagnosen diskutiert und die Schwierigkeit der Einteilung der Vaskulitiden aufgezeigt.

Abstract

This report presents a female patient suffering from chronic diarrhea, who developed palpable purpura on the lower extremities 8 weeks after onset of the gastrointestinal symptoms. Biopsies obtained from the colon and skin showed leukocytoclastic vasculitis. Possible triggers or underlying diseases could not be found, and the patient recovered without specific treatment for vasculitis. Possible differential diagnoses and the difficulties in classifying vasculitides are discussed in the present report.

Schlüsselwörter

leukozytoklastische Vaskulitis - Hämatochezie - chronische Diarrhö - Ulzera - Pneumatosis coli - palpable Purpura

Key words

leukocytoclastic vasculitis - haematochezia - chronic diarrhea - ulcera - pneumatosis coli - palpable purpura
 

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