Boyer J, Baudet P, Ben Bouali A, Ronceray J, Joubaud F
Sem Hop. 1978 Mar;54(5-8):298-302.
We have observed two unusual forms of rheumatoid purpura with digestive symptoms in two young girls aged 16 years. In the first case, the signs of complete duodenal stenosis led to a surgical operation which led to the discovery of an infiltrated mesenteric band of adhesions containing numerous lymph nodes, with on the oedematous loops of small intestine, numerous ecchymoses. In the second case, the duodenal-jejunal radiological abnormalities suggested protein-losing enteropathy. especially as this patient like the first, had major hypoproteinemia without albuminuria. The Cr51 radioisotope test confirmed this quite exceptional diagnosis in this disease.
我们在两名16岁的年轻女孩中观察到两种伴有消化系统症状的不寻常类风湿性紫癜形式。在第一例中，完全性十二指肠狭窄的体征导致了一次外科手术，术中发现一条浸润性肠系膜粘连带，其中含有大量淋巴结，在小肠的水肿肠袢上有大量瘀斑。在第二例中，十二指肠-空肠的放射学异常提示蛋白丢失性肠病。特别是因为该患者与第一例患者一样，有严重的低蛋白血症但无蛋白尿。铬51放射性同位素试验证实了这种在该疾病中相当罕见的诊断。
