Nakamura Shigeki, Yanagihara Katsunori, Izumikawa Koichi, Seki Masafumi, Miyazaki Yoshitsugu, Hirakata Yoichi, Soejima Yoshifumi, Mizuta Yohei, Kohno Shigeru
Department of Respiratory Medicine, National Hospital Organization Ureshino Medical Center, Nagasaki.
Intern Med. 2007;46(8):487-90. doi: 10.2169/internalmedicine.46.6295. Epub 2007 Apr 17.
Hypersensitivity vasculitis (HSV) has been used to describe several forms of vasculitis of small blood vessels, including Henoch-Schönlein purpura (HSP), mixed cryoglobulinemia, and allergic vasculitis, etc. HSP is a disease occasionally seen in childhood, and is characterized by dermatological and abdominal symptoms. Here, we report a rare case of HSV which showed a clinical course similar to HSP after pneumococcal pneumonia in an elderly adult. Generally, Streptococcus pneumoniae is the most common pathogen in adult community-acquired pneumonia. Therefore, it is critical to recognize HSV as one of the important complications after bacterial infection, especially Streptococcus pneumoniae.
超敏性血管炎（HSV）已被用于描述几种小血管的血管炎形式，包括过敏性紫癜（HSP）、混合性冷球蛋白血症和过敏性血管炎等。HSP是一种儿童期偶见的疾病，其特征为皮肤和腹部症状。在此，我们报告一例罕见的HSV病例，该病例在一名老年成人肺炎链球菌肺炎后呈现出与HSP相似的临床病程。一般来说，肺炎链球菌是成人社区获得性肺炎最常见的病原体。因此，将HSV识别为细菌感染尤其是肺炎链球菌感染后的重要并发症之一至关重要。
