Moyano M J, Alvarez J, Millán A, Amor J
Servicios de Nefrología, Hospital Universitario Virgen Macarena, Sevilla.
Nefrologia. 2006;26(5):623-5.
Henoch-Schönlein purpura (HSP) is a multisystemic disorder mainly affecting the skin, joints, gastrointestinal tract, and kidneys but sometime rare complications that have been reported include urologic manifestations. We report a case of a 63 year old man was admitted to the hospital because a neurologic abnormalities, gastrointestinal blood loss and acute renal failure. One year before HSP was dignosed by percutaneous renal biopsy. A few days later admission the temperature was 38 masculineC and urine cultures yielded Echerichia Coli. An angio-magnetic resonance of the abdomen showed a marked dilatation of the distal left ureter with a level inside. Therapy with corticosteroids improved a clinical features and the usual renal function was recovered.
过敏性紫癜(HSP)是一种多系统疾病,主要影响皮肤、关节、胃肠道和肾脏,但有时也会出现罕见并发症,如泌尿系统表现。我们报告一例63岁男性因神经功能异常、胃肠道失血和急性肾衰竭入院。1年前经皮肾活检诊断为过敏性紫癜。入院几天后体温为38摄氏度,尿培养检出大肠杆菌。腹部血管磁共振成像显示左输尿管远端明显扩张,内部有一平面。皮质类固醇治疗改善了临床症状,肾功能恢复正常。