Henoch-Schönlein purpura and retroperitoneal fibrosis.
Henoch-Schönlein purpura and retroperitoneal fibrosis.
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过敏性紫癜和腹膜后纤维化。
DOI：
10.1159/000206801
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发表时间：
1983
影响因子：
2.4
通讯作者：
H. Avanoğlu
中科院分区：
文献类型：
--
作者：
N. Akman;Y. Avanoğlu;K. Karabay;E. Erek;A. Tokgöz;E. Aras;G. Girisken;N. Tüzüner;H. Avanoğlu
N. Akman，Y.阿瓦诺奥卢湾Karabay，E. Erek，A.托克格兹湖阿拉斯湾Girikenken，N.蒂祖纳伊斯坦布尔（土耳其）伊斯坦布尔大学Cerrahpaeja医学院内科、泌尿科和病理科Avanoallu致编辑：过敏性紫癜和腹膜后纤维化之间的关系尚未发表。一位来自伊斯坦布尔的17岁男孩于1980年2月住院，主诉为紫色皮疹、腹痛伴恶心、膝盖和脚踝肿胀15天。他在发病前2周有上呼吸道感染史。他只用了止痛药。体格检查时，除小腿紫癜性皮疹和膝关节和踝关节周围肿胀外，所有系统均无病理学发现。入院时，他的沉降率、生化检查和血液学检查结果（包括止血检查）均在正常范围内。抗链球菌溶血素0滴度为833托德单位。乳胶试验、LE细胞和冷球蛋白均为阴性。从喉部分离出金黄色葡萄球菌。尿分析显示微量蛋白尿、1-2个白色血细胞、25-30个红细胞和几个管型/高倍视野。尿培养未能产生细菌微生物生长。肾小球滤过率为120 ml/min。每天给予患者50 mg泼尼松，持续6周，每天使用2 g D-氨基苄青霉素，持续2周。腹部和关节症状一直持续到1980年4月。尿镜下血尿及微量蛋白尿消失后仍有尿。1980年4月静脉肾盂造影显示右侧肾盂输尿管狭窄和肾积水，1980年7月重复静脉肾盂造影显示双侧肾盂输尿管狭窄。1980年7月，患者左侧接受手术。髂动脉分叉处上方输尿管周围可见纤维组织。行左侧输尿管松解术和左侧输尿管成形扩张术，并将输尿管移植到腹腔内，行输尿管吻合术。1980年8月，他接受了右侧手术。对
N. Akman, Y. Avanoğlu, K. Karabay, E. Erek, A. Tokgöz, E. Aras, G. Girişken, N. Tüzüner, H. Avanoğlu, Departments of Internal Medicine, Urology and Pathology, Medical School of Cerrahpaşa, University of Istanbul, Istanbul (Turkey) To the Editor, A relationship between Henoch-Schönlein purpura and retroperitoneal fibrosis has not yet been published. Case History A 17-year-old boy from Istanbul was hospitalized in February 1980 with the chief complaints of purpu-ric rash, abdominal pain associated with nausea, and swelling of the knees and ankles for 15 days. He had a history of an upper respiratory tract infection 2 weeks before onset. He had used analgesics only. On physical examination, no pathologic findings were present in the all systems except for purpuric rashes on the lower legs and periarticular swelling of the knees and the ankles. On admission, his sedimentation rate, his biochemical tests and his hematological findings including hemostatic tests were within the normal limits. The antistreptolysin 0 titre was 833 Todd Units. Latex test, LE cell and cyroglobulin were negative. Staphylococcus aureus was isolated from the throat. Urinalysis revealed trace protein-uria, 1–2 white blood cells, 25–30 red blood cells and a few casts per high power field. Urine culture failed to yield growth of bacterial organisms. Glomerular filtration rate was 120 ml/min. 50 mg of parenteral prednisone was given to the patient daily for 6 weeks and 2 g of parenteral D-aminobenzylpenicillin was used daily for 2 weeks. Abdominal and articular manifestations persisted until April, 1980. Microscopic hematuria and trace proteinuria were still present in the urine examination after regression of these manifestations. An intravenous pyelogram obtained in April 1980 revealed right ureteropelvic stenosis and hydronephrosis, and in July 1980 repeated intravenous pyelogram demonstrated bilateral ureteropelvic stenosis. In July 1980 the patient was operated on the left side. Fibrous tissue was observed around the ureter above the iliac bifurcation. Left ureterolysis and left ureteroplastic dilatation were done and the ureter was transplantated within the peritoneal cavity and ureterostomy was performed. In August 1980, he was operated on the right side. On