Endoscopic manifestation of purpura abdominalis and the pathogen of purpura abdominalis
10.3760/cma.j.issn.1008-1372.2011.10.015
- VernacularTitle:儿童腹型过敏性紫癜的内镜特点及病因分析
- Author:
Xiyuan ZHANG
- Publication Type:Journal Article
- Keywords:
Purpura,schoenlein-henoch/DI/PA/ET;
Endoscopy
- From:
Journal of Chinese Physician
2011;13(10):1350-1352
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the endoscopic manifestation of purpura abdominalis in child patients for early diagnosis and discuss the pathogen of purpura abdominalis.Methods The endoscopic and clinical manifestation of 91 patients with purura abdominalis were studied.Ten kinds of food allergenspecific IgG were detected by ELISA method in 91 patients with purpura abdominalis.13C-UBT was detected in 91 patients with purpura abdominalis.Results Endoscopy revealed congestion,edema,splotch hemorrhage and erosion,mostly in duodenum descendent and bulb.IgG positive rate of various foods was detected in 82 patients.13C-UBT positive rate was 70.3%.Conclusions Early endoscopy was an important treatment in the differential diagnosis of purura abdominalis.Both Helicobacterpylori infection and food intolerance could be the reason of purpura abdominalis.