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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Neurologic Manifestations of Schoenlein-Henoch Purpura: Report of Three Cases and Review of the Literature
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Neurologic Manifestations of Schoenlein-Henoch Purpura: Report of Three Cases and Review of the Literature

机译：Schoenlein-Henoch Purpura的神经系统表现：三种病例报告和文学审查

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Three patients developed prominent neurologic symptoms and signs associated with Schoenlein-Henoch purpura. A 71/2-year-old boy was seen with status epilepticus after a 2-week history of generalized headaches, irritability, and intermittent colicky abdominal pain. A left hemiparesis and a left homonymous hemianopia with a right gaze preference that were present on initial examinations gradually resolved, but a mild left arm paresis persisted. Cutaneous, renal, and joint involvement followed initial CNS manifestations. The second patient, a 7-year-old girl, had a complex partial seizure with secondary generalization and a postictal hemiparesis seven days after presentation with classic signs of Schoenlein-Henoch purpura. Behavioral changes were noted during the acute phase of the illness. The third patient, a 13-year-old boy, developed signs of a left brachial plexopathy and transient weakness of his right leg during a complicated course of Schoenlein-Henoch purpura. Review of the world literature indicates that headaches and mental status changes are the most frequent neurologic complications of Schoenlein-Henoch purpura, followed by seizures, focal neurologic deficits, mononeuropathies, and polyradiculoneuropathies. The vasculitis of Schoenlein-Henoch purpura can involve the nervous system and may add significantly to the morbidity of the illness.
机译：三名患者开发出突出的神经系统症状和与Schoenlein-Henoch purpura相关的迹象。在概括的头痛，烦躁和间歇性胃肠疼痛的情况下，在2周历史后，通过状态癫痫患者看到了71/2岁的男孩。左偏瘫和左相同位似的偏好，具有正确的凝视偏好，初步检查逐渐解决，但温和的左臂复像持续存在。皮肤，肾和联合参与跟随初始CNS表现。第二岁的患者是一个7岁的女孩，具有复杂的部分癫痫发作，具有次级普遍性和介绍血清素-Henoch Purpura的经典迹象后七天的后血清出现。在疾病的急性期间注意到行为变化。第三名患者，一个13岁的男孩，在Schoenlein-Henoch Purpura复杂的过程中发育了右腿的左臂丛症和瞬态虚弱的迹象。综述世界文学表明，头痛和精神状态变化是Schoenlein-Henoch Purpura最常见的神经系统并发症，其次是癫痫发作，焦虑神经系统缺陷，单一疗法和多种子糖病变。 Schoenlein-henoch purpura的血管炎可以涉及神经系统，并且可能会显着增加疾病的发病率。

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