Department of Internal Medicine, Chang Gung Memorial Hospital, Taipei, Taiwan.
Am J Med Sci. 2012 Oct;344(4):337-9. doi: 10.1097/MAJ.0b013e318257cfe6.
Often seen in childhood, Henoch-Schönlein purpura (HSP) is a self-limiting illness, in which complications involving intussusception are rarely found in adults. This study reported a case of HSP initially presented as intussusception in a 60-year-old man. Gastrointestinal manifestations before the onset of rash may prevent an accurate diagnosis and appropriate management. Primary care physicians should be alert for this association between intussusception and HSP, especially in adult patients.
儿童期多见的过敏性紫癜（HSP）为自限性疾病，成人中少见肠套叠等并发症。本研究报道了 1 例以肠套叠为首发表现的 60 岁男性 HSP 患者。皮疹前的胃肠道表现可能导致误诊，延误治疗。对于 HSP 与肠套叠的这种关联，基层医生应保持警惕，尤其是在成年患者中。
