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过敏性紫癜并发可逆性后部白质脑病综合征

Henoch-schönlein purpura complicated by reversible posterior leukoencephalopathy syndrome.

作者信息

Fuchigami Tatsuo, Inamo Yasuji, Hashimoto Koji, Yoshino Yayoi, Abe Osamu, Ishikawa Teruaki, Fujita Yukihiko, Mugishima Hideo

机构信息

Department of Pediatrics and Child Health, Nihon University School of Medicine, Tokyo, Japan.

出版信息

Pediatr Emerg Care. 2010 Aug;26(8):583-5. doi: 10.1097/PEC.0b013e3181ea7276.

Abstract

We report a 7-year-old girl with Henoch-Schönlein purpura who developed hypertensive encephalopathy. She showed a sudden onset of neurological symptoms, including hypertension, convulsions, disturbance of consciousness, and cortical blindness. Reversible posterior leukoencephalopathy syndrome was diagnosed from the findings on magnetic resonance imaging. Reports of this syndrome in patients with Henoch-Schönlein purpura are very rare. However, if symptoms suggest central nervous system involvement, neuroimaging should be done for rapid diagnosis, and immediate treatment should be provided to avoid sequelae.

摘要

我们报告了一名患有过敏性紫癜的7岁女孩,她出现了高血压脑病。她突然出现神经症状,包括高血压、惊厥、意识障碍和皮质盲。根据磁共振成像的结果诊断为可逆性后部白质脑病综合征。过敏性紫癜患者中关于该综合征的报道非常罕见。然而,如果症状提示中枢神经系统受累,应进行神经影像学检查以快速诊断,并应立即给予治疗以避免后遗症。

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