This article introduces a simple medical records of allergic purpura and testicular epididymitis.
Children, male, 5 years old, because of rash, joint swelling and pain 8D, testicular swelling and pain was admitted to the hospital on August 25, 2005.Pateya sodium, Xinqing Ⅱ, amber hydrogen can be treated outside the courtyard, and the effect is not obvious.Investigation: Urgent, the symmetrical distribution of the limbs, the slightly higher the skin surface, the diameter of 2-5mm, the pressure does not fade the rash, the pharyngeal stuffed, the double tonsil Ⅰ degree, the cardiopulmonary abdomen ( -), the double limb swelling , The left knee joint is slightly swollen, tender, the scrotum is red and swollen, the testicular tenderness is obvious, and the nervous system ( -).Checking blood routine: WBC 12.2 × 109 / L, GR % 72.0 %, Ly % 197 %, HGB 115g / L, PLT 466 × 109 / L.Color ultrasound: Bilateral testicular sheath and scrotum walls are thickened and edema; the right epididymal and left epididymal head increase, and the substance is abnormal.None of the bilateral knees, ankle joints, and abdomen were not abnormal.Routine stool ( -), hidden blood ( -).Urban routine ( -).Advanced surgery consultations to eliminate testicular surgery.Crimine rest, local cold compresses in the scrotum, dexamethasone, semantin, vitamin C and other treatment. The symptoms of children are quickly relieved, and testicular swelling and pain also disappear within 2D.Dicemone was reduced within 5D, observed that the symptoms of 4D were not repeated, and the urine routine ( -) was reviewed ( -) and was discharged.
Allergic purpura is one of the most common vasculitis in childhood. It mainly clinical manifestations of non -platelet reduction purpura, arthritis or joint pain, abdominal pain, gastrointestinal hemorrhage and nephritis.Tester epididymitis is rare in clinical manifestations, so allergic purpura with the first symptoms of the first symptoms is often misdiagnosed.Color Doppler is of great significance in its diagnosis. You can see that patients with epididymia, thickening of scrotal skin, and scrotal effusion signs, and testicles may not have obvious swelling or significant blood supply abnormalities. The specificity can be identified with the testicular pipe, and avoid unnecessary surgical treatment.Allergic purpura and testicular epididelic hormone treatment is effective.The testicular epididymitis in this case suddenly occurred, and the symptoms were obvious. The color Doppler ultrasound confirmed that the typical manifestations of allergic purpura such as rash, abdominal pain, joint swelling and pain have appeared one after another.After eliminating other causes, considering one of the manifestations of allergic purpura, the symptoms of active anti -infection treatment such as Seymone Song quickly relieved, and further confirmed that the testicular epididymia of the child was caused by allergic purpura.Allergic purpura and testicular epididymia are good at the prognosis, without long -term infertility reports.
(Editor in charge: Fan Mo Yun)
