{"id":1809,"date":"2005-10-01T01:00:00","date_gmt":"2005-10-01T00:00:00","guid":{"rendered":"https:\/\/angh.net\/abstracts\/purpura-rhumatoide-de-ladulte-discussion-a-loccasion-dun-cas-datteinte-digestive-severe\/"},"modified":"2018-10-20T18:39:40","modified_gmt":"2018-10-20T16:39:40","slug":"purpura-rhumatoide-de-ladulte-discussion-a-loccasion-dun-cas-datteinte-digestive-severe","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/purpura-rhumatoide-de-ladulte-discussion-a-loccasion-dun-cas-datteinte-digestive-severe\/","title":{"rendered":"PURPURA RHUMATO\u00cfDE DE L\u2019ADULTE : DISCUSSION A L\u2019OCCASION D\u2019UN CAS D\u2019ATTEINTE DIGESTIVE SEVERE"},"content":{"rendered":"<p><strong>2005<\/strong><\/p>\n<p><em>M Marcato, R Combes, F Desrayaud, AM Bouscavel, H Mahammedi<br \/>\nM\u00e9decine interne \u00e0 orientation h\u00e9pato-gastro-ent\u00e9rologie, H\u00f4pital Moulins-Yzeure<\/em><\/p>\n<p><strong>Gastroent\u00e9rologie <\/strong>&#8211; \u00a02005-08-26 &#8211;\u00a0PW &#8211;<\/p>\n<p>________________________________<\/p>\n<p>Monsieur D, 82 ans, est hospitalis\u00e9 en chirurgie visc\u00e9rale pour douleurs abdominales avec sub-occlusion. Ses ant\u00e9c\u00e9dents sont les suivants : ad\u00e9nome de prostate, tumeur b\u00e9nigne du sein gauche, hyperuric\u00e9mie, vascularite inclass\u00e9e.<br \/>\nA son arriv\u00e9e, outre le tableau abdominal, il existe un purpura vasculaire aux membres inf\u00e9rieurs, biologiquement un syndrome inflammatoire.<br \/>\nUne laparoscopie est d\u00e9cid\u00e9e \u00e0 J8 devant l\u2019aggravation des signes abdominaux et les donn\u00e9es du TDM faisant craindre une isch\u00e9mie intestinale. Il existe un \u00e9panchement p\u00e9riton\u00e9al clair, des \u00e9paississements segmentaires du j\u00e9junum avec p\u00e9t\u00e9chies en surface de la s\u00e9reuse. L\u2019endoscopie per op\u00e9ratoire montre des zones segmentaires congestives et purpuriques dans le j\u00e9junum.<br \/>\nA J12 : nouvelle pouss\u00e9e de purpura jusqu\u2019au sacrum, arr\u00eat du transit. A J13 : rectorragies massives responsables d\u2019un choc h\u00e9morragique avec collapsus n\u00e9cessitant le transfert du patient en r\u00e9animation. La rectosigmo\u00efdoscopie montre une suffusion h\u00e9morragique au niveau du rectosigmo\u00efde. L\u2019\u00e9volution sera marqu\u00e9e par plusieurs r\u00e9cidives h\u00e9morragiques, l\u2019apparition d\u2019un syndrome n\u00e9phrotique. L\u2019association de signes digestifs et r\u00e9naux au purpura vasculaire fait poser le diagnostic de purpura rhumato\u00efde, confirm\u00e9 par les r\u00e9sultats des biopsies j\u00e9junales. Depuis 1993, Mr D. pr\u00e9sentait des pouss\u00e9es de purpura, des arthralgies fugaces et des \u00e9pisodes d\u2019atteinte r\u00e9nale.<br \/>\nLe purpura rhumato\u00efde est une vascularite rare chez l\u2019adulte. Nous discuterons les aspects cliniques, diagnostiques, l\u2019\u00e9volution et les particularit\u00e9s qui le distinguent de la forme de l\u2019enfant, l\u2019apport de l\u2019imagerie, de l\u2019endoscopie et les bases du traitement actuellement non consensuel.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>2005 M Marcato, R Combes, F Desrayaud, AM Bouscavel, H Mahammedi M\u00e9decine interne \u00e0 orientation h\u00e9pato-gastro-ent\u00e9rologie, H\u00f4pital Moulins-Yzeure Gastroent\u00e9rologie &#8211; \u00a02005-08-26 &#8211;\u00a0PW &#8211; ________________________________ Monsieur D, 82 ans, est hospitalis\u00e9 en chirurgie visc\u00e9rale pour douleurs abdominales avec sub-occlusion. Ses ant\u00e9c\u00e9dents sont les suivants : ad\u00e9nome de prostate, tumeur b\u00e9nigne du sein gauche, hyperuric\u00e9mie, vascularite inclass\u00e9e. [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[4],"tags":[16],"class_list":["post-1809","post","type-post","status-publish","format-standard","hentry","category-gastroenterologie","tag-16"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>PURPURA RHUMATO\u00cfDE DE L\u2019ADULTE : DISCUSSION A L\u2019OCCASION D\u2019UN CAS D\u2019ATTEINTE DIGESTIVE SEVERE - Abstracts des congr\u00e8s de l&#039;ANGH<\/title>\n<meta name=\"description\" content=\"ANGH R\u00e9sum\u00e9s congr\u00e8s H\u00e9patologie Gastroent\u00e9romogie Hepatology Gastroenterology Etudes cliniques Clinical study\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/angh.net\/abstracts\/purpura-rhumatoide-de-ladulte-discussion-a-loccasion-dun-cas-datteinte-digestive-severe\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"PURPURA RHUMATO\u00cfDE DE L\u2019ADULTE : DISCUSSION A L\u2019OCCASION D\u2019UN CAS D\u2019ATTEINTE DIGESTIVE SEVERE - 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