克罗恩病之前的过敏性紫癜。

Pomeranz Galit, Zehavi Tania, Uziel Yosef, Pomeranz Avishalom, Korzets Ze'ev

Unit of Pediatric Nephrology, Meir Hospital, Kfar Saba, Israel.

Department of Pathology, Meir Hospital, Kfar Saba, Israel.

SAGE Open Med Case Rep. 2015 Oct 12;3:2050313X15604291. doi: 10.1177/2050313X15604291. eCollection 2015.

We report a 13-year-old youth who initially presented with the typical rash of Henoch-Schonlein purpura followed a month later by a nephrotic syndrome and hematuria. Renal biopsy revealed crescentic IgA nephropathy. The patient was aggressively treated with steroids leading to a remission of his nephrotic syndrome. Three years after his initial presentation, he developed bloody diarrhea and Crohn's disease was diagnosed.

我们报告一名13岁青少年，最初表现为典型的过敏性紫癜皮疹，一个月后出现肾病综合征和血尿。肾活检显示为新月体性IgA肾病。患者接受了积极的类固醇治疗，肾病综合征得以缓解。首次发病三年后，他出现了血性腹泻，被诊断为克罗恩病。