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伴神经母细胞瘤的过敏性紫癜:一例报告

Henoch-Schönlein Purpura Presenting in Association With Neuroblastoma: A Case Report.

作者信息

Alfath Zineb, Ferdjallah Asmaa, Greengard Emily, Askari Sabeen K, Sadak Karim T, Correll Colleen K

机构信息

University of Minnesota Medical Center, Minneapolis, MN, United States.

Division of Pediatric Hematology & Oncology, University of Minnesota, Minneapolis, MN, United States.

出版信息

Front Pediatr. 2020 Feb 28;8:77. doi: 10.3389/fped.2020.00077. eCollection 2020.

DOI:10.3389/fped.2020.00077
PMID:32257980
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7093007/
Abstract

Henoch-Schönlein purpura (HSP) is a common systemic vasculitis affecting children. It is managed in the outpatient setting and rarely associated with malignancy. We present a case of neuroblastoma in a 7-year-old boy diagnosed after suspected HSP. Our case highlights the importance of maintaining a broad differential diagnosis in children with atypical HSP and performing a skin biopsy with immunofluorescence when a rash is present.

摘要

过敏性紫癜(HSP)是一种常见的影响儿童的系统性血管炎。它在门诊环境中进行治疗,很少与恶性肿瘤相关。我们报告一例7岁男孩在疑似患有HSP后被诊断为神经母细胞瘤的病例。我们的病例强调了对非典型HSP患儿保持广泛鉴别诊断的重要性,以及在出现皮疹时进行免疫荧光皮肤活检的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6751/7093007/a766bc2c4eac/fped-08-00077-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6751/7093007/63cd17f51efa/fped-08-00077-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6751/7093007/a766bc2c4eac/fped-08-00077-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6751/7093007/63cd17f51efa/fped-08-00077-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6751/7093007/a766bc2c4eac/fped-08-00077-g0002.jpg

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本文引用的文献

1
Effect of Tandem Autologous Stem Cell Transplant vs Single Transplant on Event-Free Survival in Patients With High-Risk Neuroblastoma: A Randomized Clinical Trial.自体造血干细胞移植序贯治疗与单次移植治疗高危神经母细胞瘤患者无事件生存的随机临床试验
JAMA. 2019 Aug 27;322(8):746-755. doi: 10.1001/jama.2019.11642.
2
Childhood IgA Vasculitis (Henoch Schonlein Purpura)-Advances and Knowledge Gaps.儿童IgA血管炎(过敏性紫癜)——进展与知识空白
Front Pediatr. 2019 Jun 27;7:257. doi: 10.3389/fped.2019.00257. eCollection 2019.
3
Clinical presentation of childhood leukaemia: a systematic review and meta-analysis.
儿童白血病的临床表现:一项系统综述和荟萃分析。
Arch Dis Child. 2016 Oct;101(10):894-901. doi: 10.1136/archdischild-2016-311251.
4
The Skin as an Early Expression of Malignancies in the Neonatal Age: A Review of the Literature and a Case Series.皮肤作为新生儿期恶性肿瘤的早期表现:文献综述及病例系列
Biomed Res Int. 2015;2015:809406. doi: 10.1155/2015/809406. Epub 2015 Dec 21.
5
Henoch-Schönlein purpura in children: limited benefit of corticosteroids.儿童过敏性紫癜:皮质类固醇的疗效有限。
Can Fam Physician. 2014 Nov;60(11):1007-10.
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Henoch-Schönlein purpura associated with a neuroblastoma: Report of one case and a review of the literature.伴神经母细胞瘤的过敏性紫癜:1例报告及文献复习
Intractable Rare Dis Res. 2012 Nov;1(4):167-9. doi: 10.5582/irdr.2012.v1.4.167.
7
Henoch-Schönlein purpura associated with solid-organ malignancies: three case reports and a literature review.伴有实体器官恶性肿瘤的过敏性紫癜:三例病例报告及文献复习。
Acta Derm Venereol. 2012 Jul;92(4):388-92. doi: 10.2340/00015555-1288.
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Pediatric acute lymphoblastic leukemia mimicking Henoch-Schönlein purpura.
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9
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J Rheumatol. 2010 Dec;37(12):2587-94. doi: 10.3899/jrheum.100364. Epub 2010 Sep 15.
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Ann Rheum Dis. 2010 May;69(5):798-806. doi: 10.1136/ard.2009.116657.