Barajas de Frutos D, Pedrero Vera J, Bravo Mancheño B, Palomino Urda N, Jurado Carmona J, Arcón González de Aguilar P, Alonso Moya M, Alvarez Fernández G M, Ortega Martos L
Departamento de Pediatría, Hospital Materno-Infantil, HGE Virgen de las Nieves, Granada.
An Esp Pediatr. 1993 Dec;39(6):498-500.
We review the cases of 148 children with Henoch-Schönlein purpura diagnosed in a period of seventeen years (from 1975 to 1992). Thirteen cases (8.7%) of unusual clinical manifestations were found: testicular affection in six cases (7.6% of the males); IgA nephropathy in four (2.7%); exudative enteropathy in two (1.3%); duodenal syndrome in two; previous abdominal manifestation which led to surgical procedures in one (0.7%) and another case with detachment of the retina. These clinical findings are analyzed and the possibility of unnecessary therapeutic acts is discussed.
我们回顾了17年间（1975年至1992年）确诊的148例过敏性紫癜患儿的病例。发现13例（8.7%）有不寻常的临床表现：6例睾丸受累（占男性患者的7.6%）；4例IgA肾病（2.7%）；2例渗出性肠病（1.3%）；2例十二指肠综合征；1例既往腹部表现导致手术治疗（0.7%），另1例视网膜脱离。对这些临床发现进行了分析，并讨论了不必要治疗行为的可能性。
