76 cases of allergic purpura clinical analysis.docVIP

 PAGE \* MERGEFORMAT 8 76 cases of allergic purpura clinical analysis [Paper Keywords] purpura, allergic, prognosis [Abstract] Objective: To investigate children Henoch-Schonlein purpura (HSP) clinical features. Methods: March 2004 - June 2007, our hospital 76 cases of allergic purpura in children the incidence, clinical manifestations, renal damage relevant factors and prognosis were analyzed retrospectively, etc. Results: ① male children in 42 cases, accounting for 55.26%. ② All the patients were skin purpura, abdominal pain as the first symptom in 11 patients (15.28%), with joint symptoms as the first 2 cases (2.78%), kidney damage occurs in 25 cases (34.72%). by combined treatment, 76 cases in 54 patients (71.05%) cured, 22 cases (28.94%) improved, with no deaths. Conclusion : ① The first symptom of abdominal pain in children as HSP, before the appearance of a typical skin purpura, and acute abdomen often required, should not rush to abdominal laparotomy. ② to the digestive tract, joint symptoms were often misdiagnosed as the first. ③ kidney involvement determines the course and prognosis of children should be a weekly check urine 1-2 times, until 3 months after onset, persistent purpura, if unhealed, the urine should be extended follow-up time, not less than 1 year for early detection of kidney damage. Henoch-Schonlein purpura (HSP) is a kind of skin purpura, hemorrhagic gastroenteritis, arthritis and kidney damage syndrome characterized, the basic lesion is diffuse systemic necrotizing vasculitis. The author of the March 2004 ~ 2007 June dermatology inpatient treatment in our hospital 76 cases of HSP patients were retrospectively analyzed. 1 Materials and Methods 1.1 Clinical data 76 cases of children meet the diagnostic criteria of allergic purpura [1]. 42 males and 34 females, male to female ratio of 1.24:1. Aged 3 to 26 years, mean 12.23 years, up to 7 to 12 years old, have 49 (65.13%), of which ≤ 7 years old in 30 cases (38.13%),gt; 7