交通外傷後に急性腹症にて発症したアレルギー性紫斑病の1例 A case report of anaphylactoid purpura with acute abdominal pain secondary to trauma caused by traffic accident

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著者

    • 田中 美和子 TANAKA Miwako
    • 広島大学大学院分子病態制御内科学 Department of Medicine and Molecular Science, Graduate School of Biomedical Science, Hiroshima University
    • 北台 靖彦 KITADAI Yasuhiko
    • 広島大学大学院分子病態制御内科学 Department of Medicine and Molecular Science, Graduate School of Biomedical Science, Hiroshima University
    • 児玉 美千世 KODAMA Michiyo
    • 広島大学大学院分子病態制御内科学 Department of Medicine and Molecular Science, Graduate School of Biomedical Science, Hiroshima University
    • 炭田 知宜 SUMIDA Tomonori
    • 広島大学大学院分子病態制御内科学 Department of Medicine and Molecular Science, Graduate School of Biomedical Science, Hiroshima University
    • 品川 慶 SHINAGAWA Kei
    • 広島大学大学院分子病態制御内科学 Department of Medicine and Molecular Science, Graduate School of Biomedical Science, Hiroshima University
    • 吉岡 京子 YOSHIOKA Kyoko
    • 広島大学大学院分子病態制御内科学 Department of Medicine and Molecular Science, Graduate School of Biomedical Science, Hiroshima University
    • 満岡 裕 MITSUOKA Yutaka
    • 広島大学大学院分子病態制御内科学 Department of Medicine and Molecular Science, Graduate School of Biomedical Science, Hiroshima University
    • 益田 浩 MASUDA Hiroshi
    • 広島大学大学院分子病態制御内科学 Department of Medicine and Molecular Science, Graduate School of Biomedical Science, Hiroshima University
    • 茶山 一彰 CHAYAMA Kazuaki
    • 広島大学大学院分子病態制御内科学 Department of Medicine and Molecular Science, Graduate School of Biomedical Science, Hiroshima University

抄録

症例は17歳,男性.交通外傷による多発骨折で当院に入院.交通外傷後28日目に心窩部を中心に強い腹痛が出現し,消化管超音波検査,CT検査にて十二指腸と回腸から上行結腸にかけての壁肥厚を認めた.腹痛の出現から19日目に両下肢に紫斑が出現しアレルギー性紫斑病にともなう腹痛と診断.その後尿蛋白,血尿が出現し,腎生検で紫斑病性腎炎の所見を認めた.本例は交通外傷後に腹部症状が出現し,皮膚や腎症状が遅れて出現し,診断が困難であった.<br>

A 17-year-old man was admitted to our hospital with multiple fractures resulting from traffic accident. After treatment of fractures, his general status was improved. However, one month after traffic accident, he suffered severe pain in the epigastrium. Ultrasonography and computed tomography showed thickening of the intestinal wall in the duodenum, ileum, and ascending colon. Nineteen days after the onset of abdominal pain, small hemorrhagic spots appeared on both of the lower legs. Subsequently, he developed proteinuria and hematuria. Purpura nephritis was diagnosed in biopsy specimens of the kidney. Anaphylactoid purpura associated with traffic accident is very rare and it is difficult to diagnose without skin and renal symptoms.<br>

収録刊行物

  • 日本消化器病學會雜誌 = The Japanese journal of gastro-enterology  

    日本消化器病學會雜誌 = The Japanese journal of gastro-enterology 105(4), 566-571, 2008-04-05 

    The Japanese Society of Gastroenterology

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各種コード

  • NII論文ID(NAID)
    10021271138
  • NII書誌ID(NCID)
    AN00192124
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    04466586
  • データ提供元
    CJP書誌  J-STAGE 
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