Madridano Cobo O, Sendino Revuelta A, Martínez Hernández P L, Arnalich Fernández F, Vázquez Rodríguez J J
Servicio de Medicina Interna, Hospital La Paz, Madrid.
An Med Interna. 1995 Apr;12(4):195-6.
A fifty-four-years old male with palpable purpura, polyarthritis and nephritic syndrome is presented. The renal biopsy disclosed mesangial proliferation with IgA deposits. During hospitalization abdominal pain and upper digestive bleeding also presented. Digital angiography showed splenic artery microaneurysms. Then it's a new case of polyangiitis overlap with mixed features of Schönlein-Henoch purpura and polyarteritis nodosa. Differential diagnosis between several vasculitic associations in a patient is discussed.
本文报告了一名54岁男性患者，其出现可触及的紫癜、多关节炎和肾病综合征。肾活检显示系膜增生伴IgA沉积。住院期间还出现腹痛和上消化道出血。数字血管造影显示脾动脉微动脉瘤。这是一例重叠性多血管炎，具有过敏性紫癜和结节性多动脉炎的混合特征。文中讨论了对一名患者的几种血管炎相关性疾病进行鉴别诊断的问题。
