Talwalkar Y B, Tamanaha K, Ashimine K
Int J Pediatr Nephrol. 1984 Sep;5(3):179-82.
The case of a 12 yr. old girl, presenting with left flank pain, macrohematuria due to left renal arterial thrombosis, is described. Subsequent appearance of purpura, G.I. bleeding, arthritis suggested the diagnosis of Schönlein-Henoch syndrome, which was confirmed by negative serology and contralateral renal biopsy. Major arterial thrombosis, as seen in this patient, is an extremely rare presenting symptom of Schönlein-Henoch syndrome.
本文描述了一名12岁女孩的病例,该女孩因左肾动脉血栓形成出现左侧胁腹痛和肉眼血尿。随后出现的紫癜、胃肠道出血、关节炎提示诊断为过敏性紫癜,血清学检查阴性及对侧肾活检确诊。如该患者所见,主要动脉血栓形成是过敏性紫癜极为罕见的首发症状。