Saito Yuko, Ookawara Susumu, Uchima Hisataka, Ishida Takeshi, Kakei Masafumi, Sugawara Hitoshi
Division of General Medicine, First Department of Integrated Medicine, Saitama Medical Center, Jichi Medical University, 1-847 Amanuma-cho, Omiya-ku, Saitama-City, Saitama-ken 330-8503, Japan.
Division of Nephrology, First Department of Integrated Medicine, Saitama Medical Center, Jichi Medical University, 1-847 Amanuma-cho, Omiya-ku, Saitama-City, Saitama-ken 330-8503, Japan.
Case Rep Med. 2017;2017:5960898. doi: 10.1155/2017/5960898. Epub 2017 Aug 16.
A 54-year-old Japanese man noticed painful swelling and redness of his left leg. He was admitted for treatment of cellulitis, which was accompanied with increased anti-streptolysin O and anti-streptokinase titers in his clinical course. After Piperacillin/Tazobactam administration, the skin lesion resolved. However, the patient then developed arthritis, palpable purpura, and intermittent abdominal pain, later found to be secondary to a severe duodenal ulcer. He was diagnosed with cellulitis-associated anaphylactoid purpura and was given prednisolone, which dramatically improved his symptoms. The anaphylactoid purpura was likely caused by -induced cellulitis, which was successfully treated with prednisolone. Association between these diseases is rare.
一名54岁的日本男性注意到左腿出现疼痛性肿胀和发红。他因蜂窝织炎入院治疗，在其临床过程中伴有抗链球菌溶血素O和抗链激酶滴度升高。给予哌拉西林/他唑巴坦治疗后，皮肤病变消退。然而，患者随后出现关节炎、可触及的紫癜和间歇性腹痛，后来发现是由严重十二指肠溃疡继发引起的。他被诊断为蜂窝织炎相关性类过敏性紫癜，并给予泼尼松龙治疗，症状得到显著改善。类过敏性紫癜可能是由诱导性蜂窝织炎引起的，泼尼松龙成功治疗了该疾病。这些疾病之间的关联很少见。
