Nguyen-Ho P, Jewell L D, Thomson A B
Department of Medicine (Gastroenterology), University of Alberta Hospitals, Edmonton.
Can J Gastroenterol. 1998 Jan-Feb;12(1):71-4. doi: 10.1155/1998/896945.
A 54-year-old man on hemodialysis for acute chronic renal failure and on corticosteroids for Henoch-Schonlein purpura developed massive hematochezia. After extensive clinical investigation, an ileal bleeding site was identified and surgically removed. Pathological examination of the diseased bowel segment revealed an extensive vasculitis with mucosal ulceration attributable to Henoch-Schonlein purpura as well as florid cytomegalovirus infection.
一名54岁男性因急性慢性肾衰竭接受血液透析,因过敏性紫癜服用皮质类固醇,出现大量便血。经过广泛的临床检查,确定了回肠出血部位并进行了手术切除。对病变肠段的病理检查显示广泛的血管炎伴黏膜溃疡,归因于过敏性紫癜以及活跃的巨细胞病毒感染。