Li Luan, Zhang Jingwen, Zhang Yunying, Ji Hong
Department of Dermatology and Venereology, First Affiliated Hospital, Dalian Medical University, Dalian, China.
Indian J Dermatol. 2013 Sep;58(5):409. doi: 10.4103/0019-5154.117349.
Henoch-Schonlein Purpura (HSP) is one of the most common types of vasculitis in children. The characteristic clinical manifestations include non-thrombocytopenic purpura, arthritis or arthralgia, abdominal pain, gastrointestinal hemorrhage and renal abnormalities. Thrombosis has been reported as, a rare complication of HSP. We present the case of a 14-year-old boy who was diagnosed with HSP and suspected superior mesenteric vein thrombosis. We reviewed the relevant literature and found eight similar reported cases. HSP is associated with thrombosis and HSP itself and some risk factors may result in thrombosis. We suggest that physicians should monitor patients with HSP who are at a higher risk of developing thrombosis more closely.
过敏性紫癜(HSP)是儿童最常见的血管炎类型之一。其特征性临床表现包括非血小板减少性紫癜、关节炎或关节痛、腹痛、胃肠道出血及肾脏异常。血栓形成已被报道为HSP的一种罕见并发症。我们报告一例14岁男孩,诊断为HSP并怀疑有肠系膜上静脉血栓形成。我们回顾了相关文献,发现有8例类似报道病例。HSP与血栓形成有关,HSP本身及一些危险因素可能导致血栓形成。我们建议医生应更密切地监测有较高血栓形成风险的HSP患者。