Acute onset of hematuria and proteinuria associated with multiorgan involvement of the heart, liver, pancreas, kidneys, and skin in a patient with Henoch-Schönlein purpura.
Acute onset of hematuria and proteinuria associated with multiorgan involvement of the heart, liver, pancreas, kidneys, and skin in a patient with Henoch-Schönlein purpura.
复制标题
过敏性紫癜患者急性发作的血尿和蛋白尿与心脏、肝脏、胰腺、肾脏和皮肤等多器官受累有关。
DOI：
10.1038/sj.ki.5002662
复制
发表时间：
2008
影响因子：
19.6
通讯作者：
A. Acharya
中科院分区：
文献类型：
--
作者：
M. Zaidi;N. Singh;M. Kamran;N. Ansari;S. Nasr;A. Acharya
一名17岁的男孩因腹痛来到急诊室，在他入院前7天开始疼痛。疼痛伴随着恶心、呕吐和腹泻，他将其归因于食物中毒。在他来访的前3天，他的两个手腕都开始感到疼痛。他否认有发烧、发冷、呼吸急促、排尿困难或皮疹的病史。他承认在入院前10天经历了上呼吸道感染后的低能量水平。他在家中仅有的治疗抑郁症的药物是舍曲林、瑞培酮和哌醋甲酯，他在入院前服用了一年。体格检查，体温98华氏度，心率122次/分钟−1，血压156/83毫米汞柱，呼吸频率20分钟−1，左肘及双下肢无瘙痒、无瘀点、斑丘疹。他的双眼眼皮都肿了。他有弥漫性腹部压痛和愈创木阳性大便，在住院第7天转为Melena。
A 17-year-old boy presented to the Emergency Room with abdominal pain, which began 7 days prior to his admission. The pain was accompanied by nausea, vomiting, and diarrhea, which he attributed to food poisoning. He began experiencing pain in both wrists 3 days prior to his visit. He denied history of fevers, chills, shortness of breath, dysuria, or rash. He admitted to experiencing a low level of energy after an upper respiratory tract infection 10 days prior to admission. His only medications at home were sertraline, resperidone, and methylphenidate for depression, which he was taking for 1 year prior to admission. Patient had been in foster care all his life.On physical examination, he was a well-developed, well-nourished boy, with body temperature of 98 F, heart rate of 122 beats per min− 1, blood pressure of 156/83 mm Hg, respiratory rate of 20 min− 1, and a nonpruritic, nonpetechial, maculopapular rash on his left elbow and both lower extremities. He had swelling over both eyelids. He had diffuse abdominal tenderness and guaiac-positive stool, which turned to melena by hospital day 7.