Polizzotto M N, Gibbs S D J, Beswick W, Seymour J F
Department of Medicine, St Vincent's Hospital, Melbourne, Victoria, Australia.
Intern Med J. 2006 May;36(5):328-31. doi: 10.1111/j.1445-5994.2006.01061.x.
Cardiac involvement is not regarded as a feature of Henoch-Schönlein purpura (HSP). We report a patient with HSP who developed significant cardiac symptoms, which resolved with immunosuppression. We review previous cases of HSP with cardiac features, none of which showed a response to treatment, and discuss evidence that cardiac involvement is more common than recognized. The implications for investigation and treatment of this condition are discussed.
心脏受累不被视为过敏性紫癜（HSP）的特征。我们报告了一名患有HSP的患者，该患者出现了严重的心脏症状，经免疫抑制治疗后症状缓解。我们回顾了既往有心脏特征的HSP病例，这些病例均未显示出对治疗的反应，并讨论了心脏受累比公认情况更常见的证据。本文还讨论了对此类病症进行检查和治疗的意义。
