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Ileal Perforation in Henoch-Schönlein Purpura: Report of One Case

類過敏性紫斑症合并回腸破裂:一病例報告

摘要


類過敏性紫斑症爲一種不明原因的全身性血管炎,腹痛爲其最常見的腸胃併發症;另外也可能併發腸套叠和腸道出血。 我們提報一個因類過敏性紫斑症而導致回腸破裂的病例;這個病患在迴腸破裂前曾經接受八天類固醇的治療。這篇文章重點在於說明類固醇對類過敏性紫斑症的療效,以及延誤使用類固醇可能會因爲急性血管缺血病變而導致迴腸破裂。

並列摘要


Henoch-Schonlein purpura (HSP) is a systemic vasculitis of unknown cause and abdominal pain is usually complained. Although intussusception and intestinal bleeding may occur, ileal perforation is rare. We present a case of ileal perforation following HSP in which our patient received corticosteroid on the 8th day of clinical course. Attention is focused on assessing the effect of corticosteroid and the relationships among ischemic enteritis, ileal perforation and the usage of steroid.

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