Jaeschke G, Wintzer H J
Klinik für Pferdekrankheiten und allgemeine Chirurgie, Freien Universität Berlin.
Tierarztl Prax. 1988;16(4):385-94.
This is a review on Morbus maculosus equorum (purpura haemorrhagica) on the base of literature data and of a case report on 13 own patients. It is shown, that the clinical picture of this disease has not changed within the last 150 years. Clinical main symptoms are haemorrhagic diathesis (petechiae, ecchymosis, suggillations) as well as peripheral edema and fever. The main haematological findings are neutrophilia, mostly going along with shift to the left and lymphopenia. In the last few years thrombocytopenia was also described in some cases. Basic therapeutics are glucocorticoids and penicillins. Problems of differential diagnosis and of nomenclature are discussed.
这是一篇基于文献数据以及13例自身患者的病例报告对马紫癜病(出血性紫癜)的综述。结果表明,在过去150年里该病的临床表现并无变化。临床主要症状为出血素质(瘀点、瘀斑、紫癜)以及外周水肿和发热。血液学主要表现为中性粒细胞增多,大多伴有核左移和淋巴细胞减少。在过去几年中,部分病例也出现了血小板减少的情况。基本治疗方法为使用糖皮质激素和青霉素。文中还讨论了鉴别诊断和命名方面的问题。