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伴有眶周水肿和严重肾脏受累的免疫球蛋白A血管炎:一例报告

Immunoglobulin A vasculitis with periorbital edema and severe renal involvement: A case report.

作者信息

Chiu Le Wen, Dibas Basema I, Walker Patrick D, Smidt Aimee C, Konstantinov Nikifor K

机构信息

Department of Dermatology, University of New Mexico (UNM), Albuquerque, New Mexico, USA.

Department of Pediatrics, Division of Nephrology and Rheumatology, UNM, Albuquerque, New Mexico, USA.

出版信息

Pediatr Dermatol. 2025 Jan-Feb;42(1):129-132. doi: 10.1111/pde.15726. Epub 2024 Aug 21.

Abstract

Immunoglobulin A (IgA) vasculitis, or Henoch-Schonlein purpura, is the most common systemic vasculitis in children, clinically presenting as palpable purpura in combination with arthritis, gastrointestinal involvement, or kidney injury. Subcutaneous edema is reported in patients with IgA vasculitis, and it commonly affects the lower extremities, especially around joints. Here, we report a case of IgA vasculitis with a rare presentation of edema isolated to the periorbital area in a 7-year-old boy, who subsequently developed crescentic glomerulonephritis with nephrotic range proteinuria. Isolated periorbital edema is an uncommon cutaneous feature of IgA vasculitis.

摘要

免疫球蛋白A(IgA)血管炎,即过敏性紫癜,是儿童最常见的系统性血管炎,临床表现为可触及的紫癜,并伴有关节炎、胃肠道受累或肾损伤。有报道称IgA血管炎患者会出现皮下水肿,且通常累及下肢,尤其是关节周围。在此,我们报告一例7岁男孩IgA血管炎病例,其罕见地仅表现为眶周水肿,随后发展为新月体性肾小球肾炎并伴有肾病范围蛋白尿。孤立性眶周水肿是IgA血管炎一种不常见的皮肤表现。

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