Kaneko K, Suzuki Y, Kiya K, Fukuda Y, Yabuta K
Department of Paediatrics, Juntendo University School of Medicine, Tokyo, Japan.
Pediatr Nephrol. 1994 Dec;8(6):750-1. doi: 10.1007/BF00869110.
A 7-year-old boy who had been followed for asymptomatic haematuria and elevated serum IgA levels developed Henoch-Schönlein purpura (HSP) after a streptococcal infection of the tonsils. Findings on renal biopsy were compatible with mild IgA nephropathy (IgAN); tonsillectomy was also performed as he had chronic tonsillitis. This case suggests that there is a common pathogenesis for IgAN and HSP, at least in some patients.
一名7岁男孩因无症状血尿和血清IgA水平升高而接受随访，在扁桃体链球菌感染后发生了过敏性紫癜（HSP）。肾活检结果与轻度IgA肾病（IgAN）相符；由于他患有慢性扁桃体炎，所以也进行了扁桃体切除术。该病例表明，至少在某些患者中，IgAN和HSP存在共同的发病机制。
