Chao S C, Huang J L
Department of Pediatrics, Chang Gung Children's Hospital, Taipei, Taiwan, R.O.C.
Zhonghua Min Guo Xiao Er Ke Yi Xue Hui Za Zhi. 1996 Nov-Dec;37(6):455-7.
Henoch-Schönlein purpura (HSP) is a systemic vasculitis of unknown cause and abdominal pain is usually complained. Although intussusception and intestinal bleeding may occur, ileal perforation is rare. We present a case of ileal perforation following HSP in which our patient received corticosteroid on the 8th day of clinical course. Attention is focused on assessing the effect of corticosteroid and the relationships among ischemic enteritis, ileal perforation and the usage of steroid.
过敏性紫癜(HSP)是一种病因不明的系统性血管炎,常伴有腹痛。虽然可能发生肠套叠和肠道出血,但回肠穿孔很少见。我们报告一例过敏性紫癜后发生回肠穿孔的病例,该患者在病程第8天接受了皮质类固醇治疗。重点关注评估皮质类固醇的效果以及缺血性肠炎、回肠穿孔与类固醇使用之间的关系。