儿童过敏性紫癜103例临床分析

目的:对儿童过敏性紫癜的病因,诊断及预后进行探讨。方法:对我院2001~2009年103例过敏性紫癜进行回顾性分析。结果:103例中,本病皮肤紫癜伴消化道症状者74.8%,伴关节症状者57.3%,伴肾脏症状者4.9%。病前有感染史者占30.1%;食可致敏性食物者占15.53%,有寄生虫史者占17.48%;接触花粉,新家俱,虫咬过敏者占11.65%,仅1/3病例原因不明。结论:本病根据病史诊断不难,当消化道症状或关节症状出现在皮肤紫癜之前,易误诊。病因与感染,食物过敏等因素有关,预后良好,易复发。

Clinical analysis of 103 cases with Henoch - schonlein purpura in children

Objective: To study the etiology,diagnosis and prognosis of henochschonlein purpura in children.Methods: The 103 cases of henoch-schonlein purpura treated in our hospital From January 1,2001 to december 1,2009 were retrospectively analyzed.Results: In 103 cases,74.8% accompanied with gastrointestinal symptoms;57.3% accompanied with joint symptoms;4.9% accompanied with renal symptoms.In all inducing facters,preceding infection was noted in 30.1%;eating allergenic food was noted in 15.53%;parasites history was noted in 17.48%;contacting with pollen,new furniture and insect was noted in 11.65%.All above together accounting for two third,Only one third of cases for unknown reasons.Conclusion: It is not difficult to diagnose the disease according to medical history.When the digestive tract symptoms or joint symptoms appear before the skin purpura,the disease is often misdiagnosed.The etiology of HSP is connected with infections,food allergies etc.The disease is treated with good results,but easy to recur.