POSTOPERATIVE ANAPHYLACTOID PURPURA COMPLICATED WITH NEPHROTIC SYNDROME IN A PATIENT WITH ESOPHAGEAL CANCER-A CASE REPORT-

• KUBOTA Koichi

  Department of Surgery, Higashimatsuyama City Municipal Hospital

• TANAKA Tomohiro

  Department of Surgery, Higashimatsuyama City Municipal Hospital

• KOKETSU Shinichiro

  Department of Surgery, Higashimatsuyama City Municipal Hospital

Bibliographic Information

Other Title

• 食道癌術後に発症し，ネフローゼ症候群をきたしたアナフィラクトイド紫斑の１例

Abstract

Anaphylactoid purpura (AP) is vasculitis with immune complex deposition, which mainly contains IgA antibody. AP mainly develops in children. It has been rarely reported in adults and is sometimes complicated with severe renal disfunction.<BR>A 75-year-old woman developed wound infection with methicillin-resistant sraphylococcus aureus (MRSA) after undergoing surgery for the resolution of postoperative ileus in esophageal cancer ; after 2 days she had abdominal pain and fever. Her condition improved after receiving wound treatment, but she simultaneously developed purpura in bilateral legs. She was diagnosed with AP on the basis of clinical information and immunological and serological data. After bed rest and treatment with hemostatic agents, her AP was resolved. However, subsequently, AP recurred and progressed to purpura nephritis complicated with nephrotic syndrome. Her condition became stable after receiving steroid pulse therapy.<BR>We had some reports of adult AP case as dermadrome, but a few reports of postoperative AP. The cause of AP in our case was wound infection with MRSA, under general condition with the background of malignant disease and operative damage.

Journal

• Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)

  Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 71 (6), 1462-1466, 2010

  Japan Surgical Association

Keywords

• anaphylactoid purpura
• postoperative
• wound infection with MRSA

Details

• CRID: 1390282679826529408
• NII Article ID: 130004517708
• NII Article ID: 10026936477
• NII Book ID: AA11189709
• DOI: 10.3919/jjsa.71.1462
• ISSN: 18825133
• ISSN: 13452843
• Web Site: http://www.jstage.jst.go.jp/article/jjsa/71/6/71_6_1462/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2010269316
• Text Lang: ja
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed