Analysis of 126 cases of allergic purpura


Symptoms of 8 cases (6.35), skin purpura and gastrointestinal symptoms of 12 cases (9.52), skin purpura and gastrointestinal symptoms and joint symptoms of 18 cases (14.29), only one case First kidney damage and then rash. 8 cases were misdiagnosed at the grassroots level hospitals, six cases of misdiagnosis of surgical acute abdomen: including two cases of appendicitis, ulcer disease, bleeding in 1 case, 1 case of acute intestinal obstruction, acute pancreatitis, acute gastroenteritis, one cases, the remaining two cases misdiagnosed rheumatic heat. 3 Discussion of allergic purpura is more common in children, a few found in adults and two under the age of infants and young children. In this group age at onset, season, incentives, clinical manifestations, basically the same - with the domestic reports. Author: Liuzhou People's Hospital of Pediatrics 545 001 [Article ID 1009-6647 (2007) 12-2803-01 skin purpura is a diagnosis of HSP prerequisite for a clinical diagnosis of skin purpura is not difficult. In this group has had a typical skin purpura, mainly in the lower limbs and buttocks, followed by the upper limbs. 81.74 children, starting with skin purpura,moncler jacken, gastrointestinal or joint symptoms as the initial presentation then there skin purpura those who were accounted for 1O. 32 and 7.14, although a rare but often misdiagnosed. Reported abdominal pain as the first symptom misdiagnosis rate was 36.54, joint symptoms, misdiagnosis rate as the first symptom 18.18I2]. e 8 patients misdiagnosed children, are from the hospital, six cases of misdiagnosis of surgical acute abdomen, two cases of misdiagnosed rheumatic fever, misdiagnosis is mainly due to lack of knowledge of the disease, lack of clinical experience, owed to the disease observed carefully. history collection insufficiency can also lead to one of the causes of misdiagnosis. Should therefore be to enhance learning,nike free run, improve knowledge of the disease, the acute abdomen in children, especially before the advent of the skin purpura,mbt sko priser, we should pay attention to except HSP, to avoid misdiagnosis and unnecessary surgery,Ugg Boots Günstig, to reduce the incidence of complications. Renal involvement of HSP incidence reports were available, about 25 ~ 6Ol3], this group shows the occurrence of renal damage was 35.71, routine urine examination showed proteinuria or hematuria 2 weeks of onset up to, in some cases 1 February. Kidney damage often occurs in a recurring skin purpura, abdominal pain or joint symptoms. Only one cases of kidney damage first and then the skin purpura. Kidney damage mainly as hematuria and proteinuria (or), 12 cases of typical nephritis. e prognosis of this disease depends largely on the severity of renal involvement, clinically manifested as proteinuria and hematuria and (or) a good prognosis and poor prognosis of Henoch-Schonlein purpura nephritis. erefore recommended that children with Henoch-Schonlein purpura should be noted that the tracking observation, especially on the suspect and kidney damage, routine urine examination should be observed 2 to 3 months to provide early diagnosis and treatment improve the prognosis. [
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