论文部分内容阅读
糖皮质激素具有多方面的生理功能,临床应用广泛,但不良反应屡见.我们遇到一例服用强的松出现多尿,文献上罕见报道,现摘要介绍如下:患者,女,50岁。因双下肢皮下淤斑7天来诊,检查:双下肢散在大小不等、紫红色淤斑,略高于皮肤,压之不褪色,呈对称性分布,右大腿内侧有两个乡形性红斑.下肢关节无红肿及疼痛。毛细血管脆性试验阳性.化验:红细胞420万,白细胞12000中性多形核72%,淋巴细胞23%,嗜酸细胞5%;血小板12万,出血、凝血时间均正常;尿常规正常.诊断为过敏性紫癜。于1986年4月13日口服强的松
Glucocorticoids have a wide range of physiological functions, clinical application of a wide range, but adverse reactions are common.We encountered a case of prednisone appears polyuria, rare in the literature, the summary is as follows: Patients, female, 50 years old. Due to double lower extremity ecchymosis 7 days to visit, check: double lower extremity scattered in size, purple ecchymosis, slightly higher than the skin, the pressure of non-fading, symmetrical distribution, the right thigh medial two erythema Lower extremity joints without swelling and pain. Capillary fragility test positive.Experiment: 4.2 million red blood cells, leukocytes 12000 72% neutral polymorphonuclear, 23% of lymphocytes, 5% of eosinophils; Platelet 120,000, bleeding, clotting time are normal; Henoch-Schonlein Purpura On April 13, 1986 oral prednisone