Willis T M, Hopp R J, Romero J R, Larsen P D
Department of Pediatrics, University of Nebraska Medical Center, Omaha, NE 68198-5165, USA.
Pediatr Neurol. 2001 May;24(5):379-81. doi: 10.1016/s0887-8994(01)00255-7.
Acute infectious purpura fulminans is reported in a 16-month-old male with a history of posttraumatic asplenia and complete left brachial plexus palsy. This patient developed peripheral necrosis of both lower extremities and the right upper extremity, whereas the left upper extremity was completely spared from ischemia and tissue damage. Amputation of four digits on the right hand and debridement of both lower extremities were required. This patient demonstrated the protective effect of a traumatic sympathectomy, which suggests the requirement of an intact sympathetic reflex in the development of purpura fulminans.
一名16个月大的男性患者被报道患有急性感染性暴发性紫癜，该患者有创伤后脾切除和完全性左臂丛神经麻痹病史。该患者双下肢及右上肢出现外周坏死，而左上肢完全未出现缺血和组织损伤。右手四个手指需要截肢，双下肢需要清创。该患者显示出创伤性交感神经切除术的保护作用，这表明暴发性紫癜的发生需要完整的交感神经反射。
