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一名59岁女性以皮疹和蛋白尿为表现的过敏性紫癜

Henoch-Schönlein Purpura Presenting as a Rash and Proteinuria in a 59-Year-Old Woman.

作者信息

Saif Muhammad Wasif, Whitaker-Worth Diane L, Palmisano Joseph, Cagna Richard, Yamase Harold T

机构信息

Division of Hematology-Oncology, National Institutes of Health, Bethesda, MD.

Department of Dermatology, University of Connecticut Health Center, Farmington, CT.

出版信息

Resid Staff Physician. 1999 Dec;45(13):37-44.

PMID:34764518
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8580407/
Abstract

Henoch-Schönlein purpura is a disease of unknown etiology. it is predominantly seen in children, although adults are also affected, and comprises a rash, arthritis, abdominal pain, and renal dysfunction. there is no effective treatment, although the syndrome is self-limiting and generally subsides without sequelae. The authors present a case of Henoch-Schönlein purpura in a 59-year-old woman who presented with a rash of six months' duration and a high level of urinary protein.

摘要

过敏性紫癜是一种病因不明的疾病。虽然成人也会患病,但主要见于儿童,其症状包括皮疹、关节炎、腹痛和肾功能障碍。尽管该综合征具有自限性,通常消退后不留后遗症,但目前尚无有效治疗方法。作者报告了一例59岁女性过敏性紫癜病例,该患者出现了持续6个月的皮疹和高水平尿蛋白。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27b9/8580407/b233dceca80c/nihms-1750069-f0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27b9/8580407/e6ca77957285/nihms-1750069-f0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27b9/8580407/86405ec609d7/nihms-1750069-f0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27b9/8580407/b233dceca80c/nihms-1750069-f0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27b9/8580407/e6ca77957285/nihms-1750069-f0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27b9/8580407/86405ec609d7/nihms-1750069-f0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27b9/8580407/b233dceca80c/nihms-1750069-f0005.jpg

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Resid Staff Physician. 1999 Dec;45(13):37-44.
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本文引用的文献

1
Henoch-Schönlein purpura associated with acetylsalicylic acid.与乙酰水杨酸相关的过敏性紫癜。
Ann Intern Med. 1997 Apr 15;126(8):665. doi: 10.7326/0003-4819-126-8-199704150-00028.
2
Henoch-Schönlein purpura: a diagnosis not to be forgotten.过敏性紫癜:不可遗忘的诊断。
J Fam Pract. 1996 Nov;43(5):495-8.
3
Henoch-Schönlein purpura: when and how to treat.过敏性紫癜:何时以及如何治疗。
J Rheumatol. 1996 Sep;23(9):1661-5.
4
Severe adverse cutaneous reactions to drugs.药物引起的严重皮肤不良反应。
N Engl J Med. 1994 Nov 10;331(19):1272-85. doi: 10.1056/NEJM199411103311906.
5
The American College of Rheumatology 1990 criteria for the classification of Henoch-Schönlein purpura.美国风湿病学会1990年亨诺-许兰紫癜分类标准。
Arthritis Rheum. 1990 Aug;33(8):1114-21. doi: 10.1002/art.1780330809.
6
Hypersensitivity vasculitis and Henoch-Schönlein purpura: a comparison between the 2 disorders.超敏性血管炎与过敏性紫癜:两种疾病的比较
J Rheumatol. 1992 May;19(5):721-8.
7
Long-term follow-up of childhood Henoch-Schönlein nephritis.儿童过敏性紫癜性肾炎的长期随访
Lancet. 1992 Feb 1;339(8788):280-2. doi: 10.1016/0140-6736(92)91341-5.