Hu S, Birg A, Hovaida M, Gavin M W, McCarthy D
Department of Internal Medicine, University of New Mexico School of Medicine, Albuquerque, NM, USA.
Division of Gastroenterology and Hepatology, University of New Mexico School of Medicine, 1 University of New Mexico, MSC10-5550, Albuquerque, NM, 87131, USA.
Dig Dis Sci. 2017 Apr;62(4):874-878. doi: 10.1007/s10620-017-4505-2.
IgA vasculitis is primarily a pediatric disease that is rarely encountered in adults. With adults, gastrointestinal manifestations are quite common, yet are nonspecific and may overlap with other diseases, particularly Crohn's disease, which can make the diagnosis a challenging task. Treatment is controversial given the disease course is usually self-limited with few serious complications. We present a case of IgA vasculitis in an adult patient with limited extraintestinal findings illustrating the complexity of arriving at the correct diagnosis.
IgA血管炎主要是一种儿科疾病，在成人中很少见。在成人中，胃肠道表现相当常见，但不具有特异性，可能与其他疾病重叠，尤其是克罗恩病，这使得诊断成为一项具有挑战性的任务。鉴于该疾病病程通常为自限性且严重并发症较少，治疗存在争议。我们报告一例成人IgA血管炎患者，其肠外表现有限，说明了做出正确诊断的复杂性。
