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过敏性紫瘢典型的常见表现已为人们熟知,但对不典型或伴有少见并发症者常会给诊治带来困难。作者曾遇到这类患者4例,兹报告如下。例1:表现为一过性的癫病样发作:男,13岁。服去痛片后双下肢皮肤紫癜并双膝关节疼痛3天收入院。查体见双膝关节以下皮肤对称分布大小不等、较密集的紫癜。尿常规:蛋白+～(?),红细胞2—3/HL。诊断为过敏性紫癜(混合型)。给于扑尔敏、维生素 C、强的松等治疗。第7天突感头痛、烦躁、右侧面肌抽动,继而四肢呈阵挛性抽
Allergic purpura typical of the common performance has been well-known, but atypical or with rare complications often give diagnosis and treatment difficult. The authors have encountered such patients in 4 cases, it is reported as follows. Example 1: A transient Epilepsy-like episode: Male, 13 years old. Suffering from painkillers to the lower extremity skin purpura and knee pain three days income hospital. Check the knee see the symmetry of the skin distribution of the following sizes, more intensive purpura. Urine routine: protein + ~ (?), Red blood cells 2-3 / HL. Diagnosis of anaphylactoid purpura (mixed type). To chlorpheniramine, vitamin C, prednisone and other treatment. The first 7 days sudden headache, irritability, right facial muscle twitching, and then limbs were clonic pumping