Abdominal clinical analysis of 24 cases of purpura.docVIP

 PAGE \* MERGEFORMAT 8 Abdominal clinical analysis of 24 cases of purpura [Abstract] Objective To investigate the abdominal anaphylactoid purpura Clinical features and diagnosis and treatment. Methods A retrospective analysis of our hospital 24 cases of adult abdominal clinical features of allergic purpura, diagnosis, treatment and prognosis. Results 24 patients, 15 patients after admission misdiagnosed as digestive diseases, misdiagnosis rate of 62.5%. After antispasmodic agents and proton pump inhibitor therapy ineffective, skin purpura appears to be considered after abdominal purpura, adrenocortical hormone therapy use more than 24 patients were cured. Conclusion abdominal pain in HSP patients with variable site, the clinical features of mild abdominal signs of adrenal cortical hormone has a good effect. [Keywords:] purpura, abdominal Abdominal purpura is a type of allergic purpura, is based on violations of internal capillaries and small arteries of allergic diseases. In its main clinical manifestation of abdominal pain, severe abdominal pain, location uncertain, recurrent, often accompanied by nausea, vomiting, blood in the stool and other gastrointestinal symptoms. the lack of specific clinical manifestations, and skin purpura occurs later than abdominal symptoms, so the high rate of misdiagnosis. in our hospital from January 2006 to November 2008, a total abdominal purpura treated 24 cases are make a summarized and reported as follows. 1 Data and methods 1.1 General Information January 2006 to November 2008 were treated in our hospital 24 patients with abdominal purpura, including 16 males and 8 females, aged from 24 to 70 years old, average 43.6 years old. 1.2 Clinical features 24 patients had abdominal pain, abdominal pain, changing positions and not fixed. Including upper abdominal pain in 11 cases, Cullen pain in 6 patients, whole abdominal pain in 5 cases, metastatic right lower quadrant pain in 1. The nature of pain, mostly