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过敏性紫癜性脑血管炎：一例序贯磁共振成像病例报告

Cerebral vasculitis in Henoch-Schönlein purpura: a case report with sequential magnetic resonance imaging.

作者信息

Ha T S, Cha S H

机构信息

Department of Pediatrics, Chungbuk National University College of Medicine; Cheongju, Korea.

出版信息

Pediatr Nephrol. 1996 Oct;10(5):634-6. doi: 10.1007/s004670050177.

DOI:10.1007/s004670050177
PMID:8897572
Abstract

Neurological complications are rare during the course of Henoch-Schönlein purpura (HSP). We report a 5-year-old girl with HSP who presented with seizures. Sequential magnetic resonance imaging and electroencephalography showed bilateral multifocal cerebral lesions initially, which gradually and completely resolved with clinical improvement. These lesions were compatible with the radiological pattern of the non-hemorrhagic vasculitic involvement of cerebral parenchyma.

摘要

神经系统并发症在过敏性紫癜（HSP）病程中较为罕见。我们报告一名5岁患过敏性紫癜的女孩，她出现了癫痫发作。连续的磁共振成像和脑电图检查最初显示双侧多灶性脑病变，随着临床症状改善，这些病变逐渐完全消退。这些病变与脑实质非出血性血管炎累及的影像学表现相符。

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本文引用的文献

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Anaphylactoid purpura in children (Schonlein-Henoch syndrome): review with a follow-up of the renal complications.儿童过敏性紫癜（许兰-亨诺综合征）：对肾脏并发症随访的综述
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Peripheral mononeuropathy complicating anaphylactoid purpura.类过敏性紫癜并发周围性单神经病
Clin Rheumatol. 2007 Oct;26(10):1729-32. doi: 10.1007/s10067-006-0485-x. Epub 2007 Jan 19.
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Henoch-Schönlein purpura nephritis complicated by reversible posterior leukoencephalopathy syndrome.紫癜性肾炎合并可逆性后部白质脑病综合征
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Cerebral vasculitis and intracerebral hemorrhage in Henoch-Schönlein purpura treated with plasmapheresis.采用血浆置换治疗的过敏性紫癜性脑血管炎和脑出血
Pediatr Nephrol. 2005 Feb;20(2):223-5. doi: 10.1007/s00467-004-1673-z. Epub 2004 Dec 4.
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Henoch-Schönlein purpura.过敏性紫癜
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Glucocorticoids in the management of vasculitis--a double edged sword?糖皮质激素在血管炎治疗中的应用——一把双刃剑？
J Rheumatol. 1988 Aug;15(8):1181-3.
8
Neurologic manifestations of Schoenlein-Henoch purpura: report of three cases and review of the literature.过敏性紫癜的神经系统表现：三例报告及文献复习
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MR brain scanning in patients with vasculitis: differentiation from multiple sclerosis.
Neuroradiology. 1987;29(3):226-31. doi: 10.1007/BF00451758.
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Magnetic resonance imaging of central nervous system vasculitis. A case report of Henoch-Schönlein purpura.中枢神经系统血管炎的磁共振成像。1例过敏性紫癜病例报告。
Acta Paediatr Scand. 1990 Jun-Jul;79(6-7):710-3. doi: 10.1111/j.1651-2227.1990.tb11542.x.