Acta Medica Okayama 2008 Fibrosis progression rates between chronic hepatitis B and C patients with elevated alanine aminotransferase levels EN Akiko Fujiwara No potential conflict of interest relevant to this article was reported.

岡山医学会 Acta Medica Okayama 0030-1558 117 2 2005 Schönlein-Henoch 紫斑病による腹痛症を呈し，内視鏡所見を観察しえた成人男性の２例 127 133 EN Masaya Iwamuro Shogen Ohya Masao Yoshioka Tatsuyo Nasu Tsuneyoshi Ogawa Mamoru Ito Shuhei Ishiyama Akiko Fujiwara Junji Shiode Kazuhide Yamamoto Tatsuya Itoshima We describe two cases of adult-onset Schonlein-Henoch purpura with gastrointestinal manifestations. Case 1: A 73-year-old man was admitted to our hospital because of abdominal pain, diarrhea and fever. On physical examination, the abdomen was normal, and there were many palpable petechial hemorrhages on the lower extremities.Skin biopsy revealed infiltrations of lymphocytes, neutrophils and eosinophils into the dermis. A computed tomographic (CT) scan of the abdomen disclosed thickening of the intestinal wall in the duodenum and jejunum.Upper gastrointestinal fiberscopy revealed petechiation on the stomach and erosions on the duodenum. Case 2: A 54-year-old man was admitted to our hospital because of hematochezia.The patient had pharyngitis 4 days before admission, and his serum anti-streptolysion O level was increased.On physical examination, there were faint purpuras on the lower extremities.Skin biopsy revealed a histological image of leukocytoclastic vasculitis. A CT scan of the abdomen disclosed thickening of the intestinal wall in the duodenum, jejunum and ileum.Gastrointestinal fiberscopy revealed petechiation on the stomach and ulceration on the cecum. No potential conflict of interest relevant to this article was reported.