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本文旨在探讨过敏性紫癜(AP)的实验室异常和临床特点之间的相互关系。作者研究了Virginia大学医学中心的18名急性AP儿童,女7例,男11例,平均年龄4.5岁(10月～11岁)。诊断是根据臀部和下肢的紫癜性皮疹并伴有此综合征的一项或几项特征性表现,如血尿、关节炎或腹部症状。并根据实验室资料排除了其他疾病。若有肉眼或镜下血尿(>8个红细胞/HP)和蛋白尿(≥30mg/dl)时即考虑有肾炎。排出肉眼血便或大便潜血试验阳性,就确定为胃肠道出血。
This article aims to investigate the relationship between laboratory abnormalities and clinical features of anaphylactoid purpura (AP). The authors studied 18 acute AP children at the University Medical Center in Virginia, 7 females, 11 males with an average age of 4.5 years (range, 10 to 11 years). The diagnosis is based on a purpuric rash of the hips and lower extremities accompanied by one or more characteristic signs of the syndrome, such as hematuria, arthritis or abdominal symptoms. According to laboratory data and exclude other diseases. Nephritis is considered if macroscopic or microscopic hematuria (> 8 red blood cells / HP) and proteinuria (≥30 mg / dl). Excretion of gross blood stool or fecal occult blood test positive, to determine gastrointestinal bleeding.