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題名 | Diagnosis of Henoch-Schonlein Purpura by Sonography and Radionuclear Scanning in a Child Presenting with Bilateral Acute Scrotum=以超音波及核醫造影診斷以陰囊急症為起始表現的類過敏性紫斑症 |
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作者 | 黃立心; 楊俊仁; 徐世達; 李宏昌; 黃富源; 王念陸; | 書刊名 | 微免與感染雜誌 |
卷期 | 37:3 2004.06[民93.06] |
頁次 | 頁192-195 |
分類號 | 417.5637 |
關鍵詞 | 超音波; 核醫造影; 陰囊急症; 類過敏性紫斑症; Preschool child; Schonlein-Henoch purpura; Scrotum; Spermatic cord torsion; Ultrasonography; |
語文 | 英文(English) |
英文摘要 | Acute scrotum presenting as the only initial manifestation of Henoch-Schonlein purpura (HSP) is so unusual that the diagnosis can easily be missed. We report this condition in a 4-year-old boy admitted with bronchopneumonia. Bilateral painful scrotal swelling with ecchymosis occurred on the second day of hospitalization. Scrotal sonography was performed and a good blood supply was documented. Scrotal nuclear scanning was performed and was consistent with bilateral epididymoorchitis. Multiple purpuric lesions over the lower extremities and perineal region developed on the third day of hospitalization. Intermittent abdominal pain and knee pain developed thereafter. HSP was diagnosed and steroids were prescribed. The symptoms subsided gradually and no complication was noted. This case reminds us that an acute scrotum may be the only initial manifestation of HSP. Sonography and nuclear scanning can help rule out other diseases. |
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