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食物诱导的IgA血管炎（过敏性紫癜）。

Food-induced IgA Vasculitis (Henoch-Schönlein Purpura).

作者信息

Díaz Javier Moreno, González Ana Martínez, Alonso Rosa Eva Bautista, Bruñén José Miguel García, Repiso Gonzalo Acebes

机构信息

Internal Medicine Department, Hospital Universitario Miguel Servet, Zaragoza, Spain.

Rehabilitation Department, Hospital de Barbastro, Huesca, Spain.

出版信息

Eur J Case Rep Intern Med. 2018 Feb 22;5(2):000774. doi: 10.12890/2017_000774. eCollection 2018.

DOI:10.12890/2017_000774
PMID:30756008
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6346936/
Abstract

UNLABELLED

Immunoglobulin A (IgA) vasculitis is a rare entity in adults. It can be triggered by allergens such as drugs, food, or insect bites. We present a case of an adult male with a cutaneous IgA vasculitis of palpable purpura after eating canned sardines.

LEARNING POINTS

IgA vasculitis with skin involvement is rare in adults.It can manifest after exposure to allergens such as drugs and food.A good clinical history and thorough anamnesis can lead to a quick diagnosis.

摘要

未标注

免疫球蛋白A（IgA）血管炎在成年人中是一种罕见疾病。它可由药物、食物或昆虫叮咬等过敏原引发。我们报告一例成年男性病例，该患者在食用罐装沙丁鱼后出现可触及性紫癜的皮肤型IgA血管炎。

学习要点

皮肤受累的IgA血管炎在成年人中罕见。它可在接触药物和食物等过敏原后出现。良好的临床病史和详尽的问诊有助于快速诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21f3/6346936/cbc74c5f62d0/774_Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21f3/6346936/fa175589714e/774_Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21f3/6346936/cbc74c5f62d0/774_Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21f3/6346936/fa175589714e/774_Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21f3/6346936/cbc74c5f62d0/774_Fig2.jpg

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本文引用的文献

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Henoch-Schönlein purpura in northern Spain: clinical spectrum of the disease in 417 patients from a single center.西班牙北部的亨诺克-舍恩莱因紫癜：来自单一中心的417例患者的疾病临床谱
Medicine (Baltimore). 2014 Mar;93(2):106-113. doi: 10.1097/MD.0000000000000019.
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EULAR/PRINTO/PRES criteria for Henoch-Schönlein purpura, childhood polyarteritis nodosa, childhood Wegener granulomatosis and childhood Takayasu arteritis: Ankara 2008. Part II: Final classification criteria.EULAR/PRINTO/PRES 儿童过敏性紫癜、结节性多动脉炎、韦格纳肉芽肿和川崎病的分类标准：安卡拉 2008 标准。第二部分：最终分类标准。
Ann Rheum Dis. 2010 May;69(5):798-806. doi: 10.1136/ard.2009.116657.
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一名老年患者免疫球蛋白A血管炎的不寻常临床表现。
Cureus. 2020 Oct 14;12(10):e10946. doi: 10.7759/cureus.10946.
Variation in inpatient therapy and diagnostic evaluation of children with Henoch Schönlein purpura.
儿童过敏性紫癜住院治疗和诊断评估的差异。
J Pediatr. 2009 Dec;155(6):812-818.e1. doi: 10.1016/j.jpeds.2009.05.030. Epub 2009 Jul 29.
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Henoch-Schönlein purpura in adults.成人过敏性紫癜
Am J Kidney Dis. 2006 Dec;48(6):1009-16. doi: 10.1053/j.ajkd.2006.08.031.
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Risk of long term renal impairment and duration of follow up recommended for Henoch-Schonlein purpura with normal or minimal urinary findings: a systematic review.伴正常或微量尿液检查结果的过敏性紫癜患者长期肾功能损害风险及推荐的随访时长：一项系统评价
Arch Dis Child. 2005 Sep;90(9):916-20. doi: 10.1136/adc.2005.074641. Epub 2005 May 4.
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