Shin Sae Bom, Choi Yeong Jin, Lee Jieun, Kwak Bong Gye, Kim Yong Hee, Ha Kyung Sun, Kang Jin Hyoung
Division of Oncology, Department of Internal Medicine, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea.
Department of Pathology, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea.
Infect Chemother. 2017 Jun;49(2):146-150. doi: 10.3947/ic.2017.49.2.146. Epub 2017 Feb 7.
Henoch-Schönlein purpura (HSP) is a systemic vasculitis involving the small vessels with distinct clinical features. The etiology of HSP is diverse, and viral infection is one of the many predisposing factors. Cytomegalovirus (CMV) infection mostly affects immune-suppressed patients, but rarely patients with normal immunity can also be affected. Authors experienced a case of HSP patient, with underlying small-cell lung cancer (SCLC) with CMV duodenitis. This is a rare case of HSP diagnosed in SCLC patient with predisposing factor of CMV infection.
过敏性紫癜(HSP)是一种累及小血管的系统性血管炎,具有独特的临床特征。HSP的病因多种多样,病毒感染是众多诱发因素之一。巨细胞病毒(CMV)感染主要影响免疫抑制患者,但免疫功能正常的患者也很少会受到影响。作者遇到一例HSP患者,其患有小细胞肺癌(SCLC)并伴有CMV十二指肠炎症。这是一例在具有CMV感染诱发因素的SCLC患者中诊断出HSP的罕见病例。