Brozikova Hana, Barochova Libuse, Sykora Josef, Schwarz Jan, Lad Vaclav, Cvalinova Dominika, Greda Marek, Kutilek Stepan
Department of Pediatrics, Klatovy Hospital, Klatovy, Czech Republic, Klatovy Hospital, Klatovy, Czech Republic.
Department of Pediatrics, Faculty Hospital and Faculty of Medicine in Pilsen, Charles University, Prague, Czech Republic.
Sudan J Paediatr. 2022;22(2):179-184. doi: 10.24911/SJP.106-1576094862.
Henoch-Schönlein purpura (HSP) is the most common vasculitis in childhood and is clinically characterised by purpura, abdominal pain, arthritis and renal involvement. Scarcely, some patients with HSP may not always show visible rash and can present with insidious abdominal symptoms. We present two patients: an 8-year-old boy who was initially considered as having infectious diarrhoea and mesenteric lymphadenitis, then intussusception, appendicitis, appendicopathia oxyuriaca and post-operative ileus. However, he was finally diagnosed with HSP, as the typical rash appeared 10 days after onset of abdominal symptoms. The second patient was a 5-year-old boy with recurrent vomiting, abdominal pain and mild dehydration, where swollen joints and typical rash appeared on day 3. Both patients were successfully managed with orally administered corticosteroids. The patients did not have any further consequences of HSP.
过敏性紫癜（HSP）是儿童期最常见的血管炎，临床特征为紫癜、腹痛、关节炎和肾脏受累。少数情况下，一些HSP患者可能并不总是出现可见皮疹，而是表现为隐匿的腹部症状。我们报告两名患者：一名8岁男孩，最初被认为患有感染性腹泻和肠系膜淋巴结炎，随后又被诊断为肠套叠、阑尾炎、蛲虫性阑尾炎和术后肠梗阻。然而，最终他被诊断为HSP，因为典型皮疹在腹部症状出现10天后出现。第二名患者是一名5岁男孩，有反复呕吐、腹痛和轻度脱水症状，在第3天出现关节肿胀和典型皮疹。两名患者均通过口服糖皮质激素成功治疗。两名患者均未出现HSP的任何进一步后果。
