Takamatsu K, Ikeda Y, Nakauchi Y, Kawada M, Hashimoto K, Furihata M
Second Department of Internal Medicine, Kochi Medical School, Japan.
Nihon Jinzo Gakkai Shi. 1994 Jan;36(1):63-8.
We report here the autopsy findings in a 51-year-old man who had been admitted with Henoch-Schönlein purpura (HSP) accompanied by rapidly progressive glomerulonephritis and massive intraperitoneal hemorrhage, leading to death. While the intraperitoneal hemorrhage was the primary cause of death, the patient may have suffered widespread intraperitoneal vasculitis due to HSP, or hemorrhagic pancreatitis due to the concurrent administration of a steroid and furosemide. We emphasize the acute hemorrhagic pancreatitis is a possible complication in patients with generalized vasculitis, including HSP and collagen disease, during the concurrent administration of steroids and other agents.
我们在此报告一名51岁男性的尸检结果，该患者因过敏性紫癜（HSP）伴快速进展性肾小球肾炎及大量腹腔内出血入院，最终死亡。虽然腹腔内出血是主要死因，但患者可能因HSP导致广泛的腹腔内血管炎，或因同时使用类固醇和速尿导致出血性胰腺炎。我们强调，在同时使用类固醇和其他药物期间，急性出血性胰腺炎是包括HSP和胶原病在内的全身性血管炎患者可能出现的并发症。
