A fulminating fatal case of Henoch- Schöenlein purpura is reported along with a review of the basic disease. Death was due to hemorrhage and necrosis in volving the entire gastro-intestinal tract. To the authors' knowledge, death due to total intestinal infarction in this disease has not been previously described. Addi tional autopsy findings included a necro tizing vasculitis involving skin, lungs and gastro-intestinal tract as well as focal necrosis of the liver and adrenal glands and a membranous glomerulonephritis.
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