Immunoglobulin A Enteropathy: A Possible Variant of Henoch–Schönlein Purpura View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2004-11-01

AUTHORS

Seiichi Kato, Kyoko Ozawa, Noriaki Ando, Hiroshi Naganuma, Kazuie Iinuma, Hiroshi Nagura

ABSTRACT

This study calls attention to a new syndrome presenting with gastrointestinal symptoms including abdominal pain, vomiting, and/or hematemesis and endoscopic multiple lesions predominantly in the descending duodenum, without the skin rash observed in Henoch–Schönlein purpura. We examined the gastrointestinal mucosa for IgA deposits in nine children and compared the results with those for three patients with Henoch–Schönlein purpura. In addition, gastroduodenal biopsy specimens of 11 patients with various diseases were studied as controls for IgA staining. Intestinal histology showed nonspecific mucosal inflammation without vasculitis. In six patients without rash (67%), IgA deposition was observed in the capillary wall with the same staining pattern as seen in two patients with Henoch–Schönlein purpura. Compared with the controls (9%), the positive rate of IgA deposition was significantly higher in nonrash patients (P&<0.01). Deposited IgA showed immunoreactivities of polymeric IgAl containing J chain. IgA deposits were ultrastructually seen along the plasma membranes of the endothelial cells. Overall, the data suggest that IgA deposition played a pathogenetic role in the gastrointestinal damage in this group of patients presenting primarily with gastrointestinal complaints. Further studies are needed to clarify whether this patient population has a variant of Henoch–Schönlein purpura or a distinct “IgA enteropathy.” More... »

PAGES

1777-1781

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10620-004-9569-0

DOI

http://dx.doi.org/10.1007/s10620-004-9569-0

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https://app.dimensions.ai/details/publication/pub.1018744604

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/15628702


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