Bouhafs Nadia, Elouali Aziza, N'joumi Chaimae, El Haissoufi Kamal, Belahcen Mohamed, Rkain Maria, Babakhouya Abdeladim
Pediatrics, Centre Hospitalier Universitaire Mohammed VI Oujda, Oujda, MAR.
Faculty of Medicine and Pharmacy, Mohammed First University of Oujda, Oujda, MAR.
Cureus. 2024 Jun 29;16(6):e63462. doi: 10.7759/cureus.63462. eCollection 2024 Jun.
Henoch-Schönlein purpura (HSP) also known as rheumatoid purpura is the most common vasculitis in children. This condition affects small blood vessels, predominantly targeting the skin, digestive system, joints, and kidneys. Short-term prognosis mainly depends on abdominal complications, while long-term prognosis is mainly determined by the severity of kidney involvement, which occurs in about 35% of cases. Although uncommon, other organs such as the lungs, heart, or nervous system may also be affected. Compartment syndrome of the hand and forearm is a very rare complication of HSP. To our knowledge, only two cases have been reported in the literature. We describe the case of a four-year-old child who presented with rheumatoid purpura complicated by compartment syndrome of the hand and forearm successfully managed through emergency fasciotomy.
过敏性紫癜（HSP）也称为风湿性紫癜，是儿童最常见的血管炎。这种疾病影响小血管，主要累及皮肤、消化系统、关节和肾脏。短期预后主要取决于腹部并发症，而长期预后主要由肾脏受累的严重程度决定，约35%的病例会出现肾脏受累。虽然罕见，但肺部、心脏或神经系统等其他器官也可能受到影响。手部和前臂的骨筋膜室综合征是HSP一种非常罕见的并发症。据我们所知，文献中仅报道过两例。我们描述了一名4岁儿童的病例，该儿童患有风湿性紫癜并伴有手部和前臂骨筋膜室综合征，通过急诊筋膜切开术成功治疗。
