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目的:探讨以消化道症状起病的儿童过敏性紫癜临床特点及误诊原因。方法:对20例以消化道症状起病的过敏性紫癜患儿的临床资料进行回顾性分析。结果:从消化道症状起病到皮肤紫癜出现时间平均(5.5±4.8)d。患儿腹痛明显,但腹部体征与腹痛不相平行,腹部无固定压痛点。结论:以消化道症状起病的过敏性紫癜,早期诊断十分重要,胃镜检查有利本病的早期诊断。
Objective: To investigate the clinical features and misdiagnosis of children with allergic purpura with gastrointestinal symptoms. Methods: The clinical data of 20 children with Henoch-Schonlein purpura who had onset of gastrointestinal symptoms were analyzed retrospectively. Results: The onset time from gastrointestinal symptoms to skin purpura was 5.5 ± 4.8 d. Abdominal pain in children was obvious, but abdominal signs and abdominal pain are not parallel, no fixed tenderness in the abdomen. Conclusion: Early diagnosis of Henoch-Schonlein purpura with onset of gastrointestinal symptoms is very important. Gastroscopy is beneficial for the early diagnosis of this disease.