Henoch-Schönlein purpura in an elderly patient with unusual manifestation
Henoch-Schönlein purpura in an elderly patient with unusual manifestation
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一名有异常表现的老年患者过敏性紫癜
DOI：
10.1055/s-2006-945022
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发表时间：
2007
期刊：
影响因子：
9.3
通讯作者：
Tsutomu Chiba
中科院分区：
文献类型：
--
作者：
N. Uza;S. Yazumi;K. Tanabe;Yoko Endo;Yuzo Kodama;Y. Matsumura;H. Sakashita;Tsutomu Chiba
一名81岁的男性因便血和腹水入院，但没有腹痛或皮疹。结肠镜检查显示回肠末端有明显水肿的环形溃疡（图1a）。十二指肠镜检查也显示十二指肠多发性溃疡（图1 B）。活检标本的组织学检查表明非特异性炎症。穿刺术产生出血性液体，没有恶性细胞，也没有病原体生长。最初无法明确诊断，患者接受保守治疗。
An 81−year−old man was admitted to the hospital with hematochezia and ascites, but with no abdominal pain or skin rash. Colonoscopy revealed a circumferential ulcer with marked edema in the terminal ileum (Figure 1 a). Duodenoscopy also showed multiple ulcers in the duodenum (Figure 1 b). Histological examination of biopsy specimens indicated nonspecific inflammation. Paracentesis yielded he− morrhagic fluid, with no malignant cells and no growth of pathogens. A definite di− agnosis could not be established initially, and the patient was treated conservative− ly.