Özkaya Ahmet Kağan, Güler Ekrem, Çetinkaya Ahmet, Karakaya Ali Erdal, Göksügür Yalçın, Katı Ömer, Güler Ahmet Gökhan, Davutoğlu Mehmet
a Department of Pediatric Emergency, Faculty of Medicine , Kahramanmaras Sutcu Imam University , Kahramanmaras.
b Department of Pediatric Emergency, Faculty of Medicine , Gazi University , Ankara.
Paediatr Int Child Health. 2016 May;36(2):157-9. doi: 10.1080/20469047.2015.1109250. Epub 2016 Jan 29.
Henoch-Schönlein purpura (HSP) is the most common childhood systemic vasculitis. Gastro-intestinal involvement occurs in two-thirds of patients. The characteristic skin lesions generally precede abdominal symptoms or present concurrently. A 7-year-old boy presented with intussusception and acalculous cholecystitis and had a cholecystectomy. Two weeks later he was re-admitted with features typical of HSP which responded to corticosteroids. Eleven months later he presented with abdominal pain and recurrence of HSP and, at laparotomy, there was acute appendicitis. This is the first case of a child presenting with HSP complicated by acalculous cholecystitis.
过敏性紫癜（HSP）是儿童最常见的系统性血管炎。三分之二的患者会出现胃肠道受累。特征性皮肤病变通常先于腹部症状出现或同时出现。一名7岁男孩因肠套叠和非结石性胆囊炎接受了胆囊切除术。两周后，他因出现典型的过敏性紫癜症状再次入院，对皮质类固醇治疗有反应。11个月后，他因腹痛和过敏性紫癜复发就诊，剖腹探查时发现有急性阑尾炎。这是首例出现过敏性紫癜并发非结石性胆囊炎的儿童病例。
