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超声在过敏性紫癜中的价值。

The value of ultrasound in Schoenlein-Henoch purpura.

作者信息

Pery M, Alon U, Lachter J H, Kaftori J K, Gaitini D, Rosenberger A

机构信息

Department of Diagnostic Radiology, Rambam Medical Centre, Faculty of Medicine, Technion-Israel Institute of Technology, Haifa.

出版信息

Eur J Pediatr. 1990 Dec;150(2):92-4. doi: 10.1007/BF02072045.

DOI:10.1007/BF02072045
PMID:2279515
Abstract

We report the results of ultrasound studies on 11 children with Schoenlein-Henoch purpura. In 8 children the ultrasound examination was normal. In two of three patients with macroscopic haematuria, haemorrhagic cystitis, a previously undescribed finding in Schoenlein-Henoch purpura, was found. In one case the gall bladder wall and the wall of several adjacent loops of bowel were markedly thickened. Follow up examinations after clinical recovery demonstrated complete resolution of these abnormalities. Our observations demonstrate that diagnostic ultrasound may have an important role before more expensive and invasive procedures are employed in patients with Schoenlein-Henoch purpura.

摘要

我们报告了对11例过敏性紫癜患儿进行超声检查的结果。8例患儿超声检查正常。在3例肉眼血尿患者中的2例发现了出血性膀胱炎,这是过敏性紫癜中一个此前未被描述过的发现。1例患者胆囊壁及相邻几段肠壁明显增厚。临床恢复后的随访检查显示这些异常完全消失。我们的观察表明,在对过敏性紫癜患者采用更昂贵且有创的检查之前,诊断性超声可能具有重要作用。

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1
The value of ultrasound in Schoenlein-Henoch purpura.超声在过敏性紫癜中的价值。
Eur J Pediatr. 1990 Dec;150(2):92-4. doi: 10.1007/BF02072045.
2
Haemorrhagic cystitis and urinary retention in Henoch-Schönlein purpura.过敏性紫癜中的出血性膀胱炎和尿潴留
Eur J Pediatr. 1992 Apr;151(4):312. doi: 10.1007/BF02072241.
3
Ultrasonography to diagnose and exclude intussusception in Henoch-Schönlein purpura.超声检查诊断和排除过敏性紫癜中的肠套叠。
Arch Dis Child. 1991 Sep;66(9):1065-7. doi: 10.1136/adc.66.9.1065.
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[Acalculous cholecystitis in Schöenlein-Henoch syndrome. Apropos of a case].[过敏性紫癜性肾炎合并无结石性胆囊炎。附1例报告]
Rev Med Univ Navarra. 1995 Jul-Sep;39(3):126-9.
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The value of colour Doppler ultrasonography for small bowel involvement of adult Henoch-Schönlein purpura.彩色多普勒超声检查对成人过敏性紫癜小肠受累情况的评估价值
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Sonographic evaluation of the abdomen in Henoch-Schonlein purpura.过敏性紫癜腹部的超声评估
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Significance of bowel wall abnormalities at ultrasound in Henoch-Schönlein purpura.
J Pediatr Gastroenterol Nutr. 2008 Jan;46(1):48-53. doi: 10.1097/01.mpg.0000304453.99799.8c.
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Evaluation of abdominal pain in Henoch-Schönlein syndrome by high frequency ultrasound.高频超声评估过敏性紫癜性腹痛
Pediatr Radiol. 1992;22(1):12-7. doi: 10.1007/BF02011602.
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Increase of IgA-bearing peripheral blood lymphocytes in children with Henoch-Schoenlein purpura.过敏性紫癜患儿外周血中含IgA的淋巴细胞增多。
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[Intestinal invagination in Henoch-Schönlein purpura. The diagnostic contribution of echography].[过敏性紫癜中的肠套叠。超声检查的诊断作用]
Radiol Med. 1991 Nov;82(5):702-3.

引用本文的文献

1
Editorial Comment on: U. Zaleska-Dorobisz, A. Biel, D. Sokołowska-Dąbek, C. Olchowy, M. Łasecki Ultrasonography in the diagnosis of hemorrhagic cystitis - a complication of bone marrow transplantation in pediatric oncology patients.关于以下内容的编辑评论:U. 扎莱斯卡 - 多罗比什、A. 比尔、D. 索科沃夫斯卡 - 达贝克、C. 奥尔乔维、M. 拉塞茨基 《超声检查在诊断出血性膀胱炎中的应用——小儿肿瘤患者骨髓移植的一种并发症》
J Ultrason. 2015 Mar;15(60):105-7. doi: 10.15557/JoU.2015.0010. Epub 2015 Mar 30.
2
Ureteral or vesical involvement in Henoch-Schönlein syndrome: a systematic review of the literature.过敏性紫癜性肾炎中输尿管或膀胱受累:文献系统评价
Pediatr Nephrol. 2014 Feb;29(2):235-9. doi: 10.1007/s00467-013-2621-6. Epub 2013 Sep 24.
3

本文引用的文献

1
Stenosing ureteritis in Henoch-Schönlein purpura.
J Urol. 1983 May;129(5):1040-2. doi: 10.1016/s0022-5347(17)52532-x.
2
Surgical complications in Henoch-Schönlein Purpura.过敏性紫癜的手术并发症
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Schönlein-Henoch nephritis.过敏性紫癜性肾炎。
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Gastrointestinal manifestations of Henoch-Schonlein Purpura.
过敏性紫癜的胃肠道表现
Dig Dis Sci. 2008 Aug;53(8):2011-9. doi: 10.1007/s10620-007-0147-0. Epub 2008 Mar 20.
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Anaphylactoid purpura and renal disease: the case against routine steroids.类过敏性紫癜与肾脏疾病:反对常规使用类固醇的案例
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5
Haemorrhagic cystitis and urinary retention in Henoch-Schönlein purpura.过敏性紫癜中的出血性膀胱炎和尿潴留
Eur J Pediatr. 1992 Apr;151(4):312. doi: 10.1007/BF02072241.
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Varied sonographic manifestations of cystitis.膀胱炎的多种超声表现。
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Sonographic measurements of the normal bladder wall in children.
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Striated intramural gallbladder lucencies on US studies: predictors of acute cholecystitis.超声检查显示的胆囊壁内条纹状透亮区:急性胆囊炎的预测指标
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8
Intussusception in Henoch-Schonlein purpura: diagnosis with ultrasound.过敏性紫癜性肠套叠:超声诊断
J Pediatr Surg. 1988 Apr;23(4):375-6. doi: 10.1016/s0022-3468(88)80214-8.
9
Gallbladder wall thickening in an elderly woman with infectious mononucleosis.一名患有传染性单核细胞增多症的老年女性的胆囊壁增厚。
J Clin Ultrasound. 1987 Oct;15(8):558-60. doi: 10.1002/jcu.1870150811.