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过敏性紫癜临床案例分析

Analysis of clinical cases of Henoch Schonlein purpura

临床医学前沿 / 2019,1(1)：7-11 / 2019-12-27 542 609

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• 作者： 廖承鹏     
• 单位：

  湖南师范大学附属湘东医院，醴陵

• 关键词： 过敏性紫癜；儿童；临床
• Henoch Schonlein purpura; children; clinical
• 摘要： 目的：对儿童过敏性紫癜的病因，诊断及预后进行探讨。方法：对我 院 2001 ～ 2009 年 103 例过敏性紫癜进行回顾性分析。结果：103 例中，本病皮 肤紫癜伴消化道症状者 74.8%，伴关节症状者 57.3%，伴肾脏症状者 4.9%。病前 有感染史者占 30.1%；食可致敏性食物者占 15.53%，有寄生虫史者占 17.48%； 接触花粉，新家俱，虫咬过敏者占 11.65%，仅 1/3 病例原因不明。结论：本病 根据病史诊断不难，当消化道症状或关节症状出现在皮肤紫癜之前，易误诊。 病因与感染，食物过敏等因素有关，预后良好，易复发。
• To explore the etiology, diagnosis and prognosis of Henoch Schonlein purpura in children. Methods: 103 cases of Henoch Schonlein purpura from 2001 to 2009 were analyzed retrospectively. Results: among the 103 cases, 74.8% had skin purpura with gastrointestinal symptoms, 57.3% had joint symptoms and 4.9% had kidney symptoms. 30.1% had a history of infection before the disease, 15.53% had allergic food, 17.48% had a history of parasite, 11.65% had contact with pollen, new furniture and insect bite allergy, only 1 / 3 of the cases had unknown causes. Conclusion: the diagnosis of this disease is not difficult according to the history. When the symptoms of digestive tract or joint appear before skin Pura, it is easy to misdiagnose. The etiology is related to infection, food allergy and other factors. The prognosis is good and easy to recur.
• DOI： https://doi.org/10.35534/fcm.0101002c
• 引用： 廖承鹏．过敏性紫癜临床案例分析［J］．临床医学前沿，2019，1（1）：7-11．