切换至 "中华医学电子期刊资源库"

中华消化病与影像杂志(电子版) ›› 2022, Vol. 12 ›› Issue (01) : 60 -63. doi: 10.3877/cma.j.issn.2095-2015.2022.01.015

病例报告

成人混合型过敏性紫癜并发小肠出血及急性肾功能衰竭一例
李舒丹1,(), 金杭斌1, 程思乐1, 张筱凤1, 赵宁1   
  1. 1. 310006 杭州市第一人民医院消化科
  • 收稿日期:2021-06-13 出版日期:2022-02-01
  • 通信作者: 李舒丹
  • Received:2021-06-13 Published:2022-02-01
引用本文:

李舒丹, 金杭斌, 程思乐, 张筱凤, 赵宁. 成人混合型过敏性紫癜并发小肠出血及急性肾功能衰竭一例[J]. 中华消化病与影像杂志(电子版), 2022, 12(01): 60-63.

图2 首次十二指肠内镜:黏膜见大片溃疡及出血斑
图4 冠状位小肠CT:节段性炎性病变
图6 治疗后十二指肠及空肠内镜:近段小肠黏膜溃疡愈合期
图8 急性肾功能衰竭伴大出血时回肠内镜:见鲜红色血液黏膜见毛细血管扩张伴大量糜烂出血灶
1
Oni L,,Sampath S.Childhood IgA vasculitis(Henoch Schonlein purpura)-advances and knowledge gaps[J].Front Pediatr201927(7):257.
2
Heineke MH,,Ballering AV,,Jamin A,et al.New insights in the Pathogenesis of immunoglobulin A vasculitis(Henoch-Schonlein purpura)[J].Autoimmun Rev201716(12):1246-1253.
3
侯红红,黄燕萍,刘丽,等.CTLA-4基因多态性与过敏性紫癜的相关性研究[J].中国当代儿科杂志201719(3):296-302.
4
朱英莉,成妤姣.儿童过敏性紫癜发生消化道出血的危险因素分析[J].临床医学研究与实践20216(21):50-52.
5
Tabel Y,,Inanc FC,,Dogan DG,et al.Clinical features of children with Henoch-Schonlein purpura:risk factors associated with renal involvement.Iran J Kidney Dis20126(4):269-274.
6
Elmas AT,,Tabel Y.Platelet counts in children with Henoch-schonlein purpura-relationship to renal involvement.J Clin Lab Anal201630(1):71-74.
7
Chang WL,,Yang YH,,Wang LC,et al.Renal manifestations in Henoch-Schonlein purpura:a 10-year clinical study [J].Pediatr Nephrol200520(9):1269-1272.
8
Ronkainen J,,Koskimies O,,Ala-Houhala M,et al.Early pred-nisone therapy in Henoch-Schonlein purpura:a randomized,double-blind,placebo-controlled train[J].J Pediatr2006149(2):241-247.
9
魏元庆,贾小翠.过敏性紫癜性肾炎患者采用糖皮质激素配合环磷酰胺治疗的效果[J].中国医药指南202018(30):41-42.
10
Kalliakmani P,,Benou E,,Goumenos D S.Cydospofin A in adult pa-tients with Henoeh-Schonlein purpura nephritis and nepbrotic syn-drome;5 case reports[J].Clin Nephrol201175(4):380-383.
11
Jauhola O,,Ronkainen J,,Autio-Harmainen H,et al.Cyclosporine A vs.methylprednisolone for Henoch-Schonlein nephritis:a random-ized trial[j].Pediatr Nephrol201126(12):2159-2166.
12
马惠娟.血浆置换在重型过敏性紫癜中的应用[J].国际儿科学杂志202047(4):259-262.
13
唐玉英,朱保权,付生军,等.过敏性紫癜患儿外周血树突状细IL-6,IL-12的分泌及CD80,CD86的表达[J].临床儿科杂志200927(1):58-60.
14
Chen JY,,Mao JH.Henoch-Schonlein purpura nephritis in children:Incidence,pathogenesis and management[J].World J Pediatr201511(1):29-34.
15
Greenhall GH,,Salama AD.What is new in the management of rapidly progressive glomerulonephritis?[J].Clin Kidney J20158(2):143-150.
16
Lu S,,Liu D,,Xiao J,et al.Comparison between adults and children With Henoch-Schonlein purpura nephritis [J].Pediatr Nephrol201530(5):791-796.
No related articles found!
阅读次数
全文


摘要