Miura M, Tomino Y, Fujimoto T, Shibata H, Senoue I, Endoh M, Kaneshige H, Nomoto Y, Sakai H, Arimori S
Tokai J Exp Clin Med. 1982 Mar;7(2):245-50.
We experienced an adult patient with Henoch-Schoenlein purpura (HSP) nephritis associated with a postbulbar duodenal ulcer. Chronic inflammatory changes of the arterioles (i.e. vasculitis) in the kidney and skin were prominently observed by immunofluorescence and light microscopic analysis. It is postulated that a postbulbar duodenal ulcer occurred in this patient and was mediated by vascular deposition of circulating immune complexes. It was suggested that HSP nephritis is a diffuse vascular form of IgA nephropathy.
我们遇到一名患有与球后十二指肠溃疡相关的过敏性紫癜(HSP)肾炎的成年患者。通过免疫荧光和光学显微镜分析,在肾脏和皮肤中显著观察到小动脉的慢性炎症变化(即血管炎)。据推测,该患者发生球后十二指肠溃疡,是由循环免疫复合物的血管沉积介导的。有人提出,HSP肾炎是IgA肾病的一种弥漫性血管形式。