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December 1967

Schönlein-Henoch SyndromeRoentgen Changes in the Upper Gastrointestinal Tract

Am J Dis Child. 1967;114(6):674-675. doi:10.1001/archpedi.1967.02090270130020

SCHÖNLEIN-HENOCH syndrome is a disease of children often characterized by the insidious or sudden onset of abdominal pain. The pain, which is generally colicky in nature, antedates the development of cutaneous purpura, bleeding from the gastrointestinal tract, painful joints, or the visceral involvement which often accompanies the disease. The disease is thought to represent an anaphylactoid arteritis, a type of Shwartzman's phenomenon, and has been referred to as anaphylactoid purpura or nonthrombocytopenic purpura.1-3 The purpose of this report is to present a case illustrating the clinical and radiographic findings in this entity.

Report of a Case  A 2½-year-old white boy started to complain of colicky, abdominal pain during the middle of January 1967. Initially, the pain was mild and alternated with long, pain-free intervals. The only other significant symptom was constipation. One month later, the pains became more intense and frequent. The patient was given phenobarbitol (Donnatal) and diphenoxylate

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