Henoch-Schonlein Purpura in an Elderly Women Presenting with Severe GI Bleeding: A case report

A 65–year-old lady presented with recent onset of purpuric rash over the lower limbs, polyarthritis, severe colicky abdominal pain associated with bloody diarrhea following a short episode of upper respiratory tract infection. Henoch-Schonlein purpura (HSP) was diagnosed on the basis of normal platelet count, normal serum complement, leucocytoclastic vasculitis on skin biopsy and negative search for rheumatoid factor (RF), antinuclear antibody (ANA), hepatitis B and C virus markers and other infective causes.