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妊娠合并过敏性紫癜的诊断与治疗:文献复习。

Diagnosis and management of Henoch-Schönlein purpura in pregnancy: a review of the literature.

机构信息

University College London Medical School, London, UK.

出版信息

Arch Gynecol Obstet. 2012 Oct;286(4):825-9. doi: 10.1007/s00404-012-2468-2. Epub 2012 Aug 4.

Abstract

INTRODUCTION

Henoch-Schönlein Purpura (HSP) is an IgA-mediated hypersensitivity vasculitis uncommon in adults and rarely described in pregnancy. So far, only 20 cases have been described in pregnancy in the worldwide literature. Although prognosis for this condition is reported as excellent, most studies are based on the paediatric population. Henoch-Schönlein Purpura is known to be more severe in adults, and women with a history of HSP have an increased risk of complications during pregnancy. Diagnosis and management of HSP in adults is based on limited evidence, with little data regarding the obstetric population.

MATERIAL AND METHODS

Review of data cited in current published cases.

CONCLUSION

We review the obstetric cases reported so far and discuss diagnostic matters and current management strategies.

摘要

简介

过敏性紫癜(HSP)是一种 IgA 介导的超敏性血管炎,在成人中不常见,在妊娠中也很少见。迄今为止,在全球文献中仅描述了 20 例妊娠中的病例。尽管该病症的预后被报道为良好,但大多数研究都是基于儿科人群。已知成人中的过敏性紫癜更为严重,且有 HSP 病史的女性在妊娠期间发生并发症的风险增加。成人中 HSP 的诊断和管理基于有限的证据,关于产科人群的数据很少。

材料和方法

对目前已发表病例中引用的数据进行综述。

结论

我们回顾了迄今为止报告的产科病例,并讨论了诊断问题和当前的管理策略。

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