Larrègue M, Lorette G, Prigent F, Canuel C
Ann Dermatol Venereol. 1980;107(10):901-5.
A child, eleven months old, presented with an A. H. O. after an otitis. The dermatologic aspect is typical with oedema and target-like hemorrhagies. The disease evolved in three successive episodes. During the second one two intestinal intussuceptions occurred. It was necessary to proceed to an intestinal resection of twenty centimeters of the small bowel and of the right part of the large bowel. The post-operative period has been complicated by an intravascular coagulation, perforation of small bowel and peritonis due to Proteus bacillus. The child died during these complications. This evolution looks like an anaphylactoid purpura of Schönlein-Henoch. But this does not allow to affirm that these two allergic vasculitis are related to the same etiology. Our own observation suggests the necessity of watching the coagulation rate when an acute haemorrhagic oedema is complicated by bowel's intussusception.
一名11个月大的儿童在患中耳炎后出现急性出血性水肿。皮肤表现典型，有水肿和靶样出血。疾病连续经历三个阶段。在第二阶段发生了两次肠套叠。有必要对20厘米的小肠和大肠右部进行肠切除。术后出现血管内凝血、小肠穿孔和变形杆菌引起的腹膜炎等并发症。患儿在这些并发症期间死亡。这种病情发展类似于许兰 - 亨诺赫过敏性紫癜。但这并不能肯定这两种过敏性血管炎病因相同。我们自己的观察表明，当急性出血性水肿并发肠套叠时，有必要监测凝血率。
