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成人过敏性紫癜合并小细胞肺癌：一例报告及文献复习

Adult Henoch-Schönlein purpura associated with small cell lung cancer: A case report and review of the literature.

作者信息

Zhang Xue-DE, Yang Shuan-Ying, Li Wei, Ming Zong-Juan, Hou Yan-Li, Niu Ze-Qun, Zhang Yu-Ping

机构信息

Department of Respiratory Medicine, The Second Affliated Hospital, Medical College of Xi'an Jiaotong University, Xi'an, Shaanxi 710004, P.R. China.

出版信息

Oncol Lett. 2013 Jun;5(6):1927-1930. doi: 10.3892/ol.2013.1274. Epub 2013 Mar 27.

DOI:10.3892/ol.2013.1274
PMID:23833668
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3701082/
Abstract

The present study reports the case of a 53-year-old male who had been suffering from coughing and the presence of a blood-streaked sputum for >1 month. Chest computed tomography (CT) and a bronchoscopic brush smear were performed. The patient was subsequently diagnosed with small cell lung cancer (limited stage). The patient developed polyarthritis, abdominal pain, diarrhea and a purpuric rash at 14 days post thoracotomy surgery for lung cancer. Henoch-Schönlein purpura (HSP) was diagnosed based on the clinical symptoms. The patient received chemotherapy with steroid therapy, which resulted in complete remission of the HSP.

摘要

本研究报告了一名53岁男性的病例，该患者咳嗽伴痰中带血超过1个月。进行了胸部计算机断层扫描（CT）和支气管镜刷检涂片。该患者随后被诊断为小细胞肺癌（局限期）。患者在肺癌开胸手术后14天出现多关节炎、腹痛、腹泻和紫癜性皮疹。根据临床症状诊断为过敏性紫癜（HSP）。患者接受了化疗及类固醇治疗，结果HSP完全缓解。

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