[结肠白细胞破碎性血管炎的首发表现：病例报告及鉴别诊断要点]

[First manifestation of a leucocytoclastic vasculitis in the colon: case report and differential diagnostic aspects].

作者信息

Schartner E, Höflmayer D, Müller-Knespel E-M, Dzirlo L, Haunold I, Dawid M, Stanek-Kalchhauser D, Weiss P, Klimpfinger M

机构信息

III. Medizinische Abteilung für Innere Medizin und Psychosomatik, KH der Barmherzigen Schwestern Wien, Austria.

出版信息

Z Gastroenterol. 2013 Jan;51(1):37-42. doi: 10.1055/s-0032-1325470. Epub 2013 Jan 11.

DOI:10.1055/s-0032-1325470

PMID:23315650

Abstract

This report presents a female patient suffering from chronic diarrhea, who developed palpable purpura on the lower extremities 8 weeks after onset of the gastrointestinal symptoms. Biopsies obtained from the colon and skin showed leukocytoclastic vasculitis. Possible triggers or underlying diseases could not be found, and the patient recovered without specific treatment for vasculitis. Possible differential diagnoses and the difficulties in classifying vasculitides are discussed in the present report.

摘要

本报告介绍了一名患有慢性腹泻的女性患者，该患者在出现胃肠道症状8周后下肢出现可触及的紫癜。从结肠和皮肤获取的活检显示白细胞破碎性血管炎。未发现可能的触发因素或潜在疾病，患者未经针对血管炎的特殊治疗即康复。本报告讨论了可能的鉴别诊断以及血管炎分类中的困难。