Darteyre S, Ludwig C, Lalande M, Rodière M, Guillaumont S, Morin D
Service de pédiatrie infectieuse et immunologique, hôpital Arnaud-de-Villeneuve, 371, avenue du Doyen-Gaston-Giraud, 34295 Montpellier, France.
Arch Pediatr. 2008 Jul;15(7):1193-6. doi: 10.1016/j.arcped.2008.04.003. Epub 2008 May 27.
Henoch-Schönlein purpura (HSP) is an IgA mediated vasculitis that affects small vessels. In this condition, arterial hypertension is most often linked with renal involvement, but it can also occur in the absence of urinary abnormalities. We report the case of a 12-year-old girl who presented with HSP and hypertension in the absence of renal involvement. Hypertension responded to oral therapy with nicardipine, and disappeared after healing of the disease. In the case of hypertension during HSP in the absence of renal involvement, other causes of childhood's arterial hypertension have to be ruled out.
过敏性紫癜（HSP）是一种由免疫球蛋白A介导的影响小血管的血管炎。在这种情况下，动脉高血压最常与肾脏受累相关，但也可在无尿液异常时出现。我们报告一例12岁女孩，她在无肾脏受累的情况下出现过敏性紫癜和高血压。高血压对尼卡地平口服治疗有反应，疾病治愈后消失。对于无肾脏受累的过敏性紫癜患者出现高血压的情况，必须排除儿童动脉高血压的其他病因。
