Reif S, Jain A, Santiago J, Rossi T
Department of Gastroenterology and Nutrition, Children's Hospital of Buffalo, New York.
Acta Paediatr Scand. 1991 Apr;80(4):482-5. doi: 10.1111/j.1651-2227.1991.tb11888.x.
Gastrointestinal manifestations of Henoch-Schönlein purpura (HSP) commonly include abdominal pain and gastrointestinal bleeding. Hypoproteinemia and edema could be related to renal involvement. We report a 14-year-old boy with classical features of HSP manifestated with edema due to severe intestinal protein loss, measured by elevated fecal alpha 1 antitrypsin secretion. The protein losing enteropathy subsided with corticosteroid therapy.
过敏性紫癜(HSP)的胃肠道表现通常包括腹痛和胃肠道出血。低蛋白血症和水肿可能与肾脏受累有关。我们报告一名14岁男孩,具有HSP的典型特征,因严重肠道蛋白丢失而出现水肿,通过粪便α1抗胰蛋白酶分泌升高来衡量。蛋白丢失性肠病经皮质类固醇治疗后消退。