Mesenteric vasculitis in adults with Henoch-Schonlein purpura: A not-so-benign condition

Introduction: The gastrointestinal manifestations of Henoch-Schonlein purpura (HSP) are well characterised, but their recognition can be difficult when they occur in isolation. Furthermore, HSP can run a more serious course in adults, compared to children, in whom the disease usually occurs. Materials and methods: We describe two cases that illustrate the challenges of HSP with mesenteric vasculitis and the outcome in adults. Conclusion: Although self-limiting in most patients, the outcome of HSP in adults can be far from benign and even fatal.