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伴发于过敏性紫癜的肾小球肾炎约占小儿肾小球肾炎的15％。本文总结了60例小儿过敏性紫癜性肾炎的所见。所有病例的随访至少一年。每一病例做了1～2次肾活组织检查。男孩39例与女孩21例发病时的年龄是2～18岁。其中16例在6～7岁。19例发病前有上呼吸道感染,内7例ASO值升高。 46例的肾脏病变发生于过敏性紫癜的头4周。有3例在典型发疹出现之前以“急性肾小球肾炎”的诊断观察了5～12个月。
Accompanied by allergic purpura glomerulonephritis accounted for about 15% of children with glomerulonephritis. This article summarizes the findings of 60 cases of allergic purpura nephritis in children. All cases were followed for at least one year. Each case made 1 or 2 renal biopsy. 39 cases of boys and 21 cases of girls at the age of onset is 2 to 18 years old. 16 cases of which are 6 to 7 years old. 19 cases of upper respiratory tract infection before onset, 7 cases of ASO increased. 46 cases of renal lesions occurred in the first 4 weeks of Henoch-Schonlein purpura. Three patients were diagnosed with “acute glomerulonephritis” for 5 to 12 months before the onset of the classic rash.