https://scholars.lib.ntu.edu.tw/handle/123456789/525027
標題: | Leukocytoclastic vasculitis with severe cardiac involvement in an infant: A case report | 作者: | Hung J.-T. YAO-HSU YANG Hsiao C.-H. HSIN-HUI YU JYH-HONG LEE LI-CHIEH WANG BOR-LUEN CHIANG |
公開日期: | 2008 | 卷: | 27 | 期: | 7 | 起(迄)頁: | 945-947 | 來源出版物: | Clinical Rheumatology | 摘要: | Severe visceral involvement in leukocytoclastic vasculitis is rare. We report here the case of a 2-month-old male infant with leukocytoclastic vasculitis who initially presented with fever and skin purpura. Endomyocarditis with mitral valve regurgitation, multiple hepatic infarction, and pulmonary hemorrhage developed later. The patient was successfully managed with an aggressive treatment of high frequency oscillation ventilation and extracorporeal membrane oxygenation together with corticosteroid and azathioprine therapy for 3 months. Valvuloplasty was also performed due to irreversible damage of the mitral valve, although long-term oral anticongestive medications were also needed. ? Clinical Rheumatology 2008. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-45049088729&doi=10.1007%2fs10067-008-0872-6&partnerID=40&md5=b87d605df29248395f8cb2a09178caee https://scholars.lib.ntu.edu.tw/handle/123456789/525027 |
ISSN: | 0770-3198 | DOI: | 10.1007/s10067-008-0872-6 | SDG/關鍵字: | antibiotic agent; azathioprine; cardiovascular agent; corticosteroid; immunoglobulin; oxygen; steroid; article; artificial ventilation; case report; clinical feature; computer assisted tomography; congestive heart failure; continuous hemofiltration; differential diagnosis; disease severity; drug substitution; drug withdrawal; endocarditis; extracorporeal oxygenation; fever; heart disease; human; human tissue; infant; laboratory test; leukocytoclastic vasculitis; liver biopsy; liver disease; lung hemorrhage; male; mitral valve regurgitation; mitral valve repair; mucocutaneous lymph node syndrome; myocarditis; physical examination; priority journal; purpura; respiratory distress; treatment duration; Adrenal Cortex Hormones; Azathioprine; Balloon Dilatation; Extracorporeal Membrane Oxygenation; High-Frequency Ventilation; Humans; Immunosuppressive Agents; Infant; Male; Mitral Valve Insufficiency; Myocarditis; Vasculitis, Hypersensitivity |
顯示於: | 醫學系 |
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