Uematsu H, Tabuchi T, Nitta N, Todo G, Hayashi N, Yamamoto K, Ishii Y, Tanaka K
Department of Radiology, Nagahama Red Cross Hospital.
Nihon Igaku Hoshasen Gakkai Zasshi. 1994 Jul 25;54(8):761-6.
We evaluated six children with anaphylactoid purpura for ultrasonographic changes in the small intestine. Of 16 ultrasonographic scans, eight showed abnormal findings, consisting of circumscribed hypo-echoic enlargement, reduced peristalsis, equivocal structure of the small intestinal wall and ascites in patients with abdominal pain. Follow-up ultrasonography after steroid therapy demonstrated the small intestine to be normal in four of six patients. We believe that ultrasonography is an useful diagnostic modality to detect changes in the small intestinal wall in anaphylactoid purpura and plays an important role in its differentiation from other causes of abdominal pain.
我们对6例过敏性紫癜患儿的小肠进行了超声检查,观察其变化。在16次超声扫描中,8次显示异常结果,包括局限性低回声肿大、蠕动减弱、小肠壁结构不清以及腹痛患者出现腹水。类固醇治疗后的随访超声检查显示,6例患者中有4例小肠恢复正常。我们认为,超声检查是检测过敏性紫癜小肠壁变化的一种有用的诊断方法,在鉴别过敏性紫癜与其他腹痛原因方面起着重要作用。