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Clinical Studies on Purpura in Children.

Journal of the Korean Pediatric Society 1979;22(11):977-984.
Published online November 15, 1979.
Clinical Studies on Purpura in Children.
Hyo Duck Kim, Tai Ju Hwang, Jung Hi Oh
Department of pediatrics, College of Medicine, Chonnam National University, Kwangju, Korea.
소아 자반병의 임상적 고찰
김효덕, 황태주, 오정희
전남대학교 의과대학 소아과학교실
Abstract
The following results were obtained through the clinical review of 182 cases who were admitted with purpuric manifestation at the Pediatric Department of Chonnam National University Hospital during the four-year period, January 1975 through Decemver 1978. 1. The incidence was in the order of leukemia 50 cases(27.5%), sepsis 33 cases(18.1%), meningococcemia 33 cases(18.1%), allergic purpura 29 cases(15.9%), aplastic anemia 19 cases(10.5%) and I.T.P. 18 cases(9.9%). 2. By age distribution, 69.2% of the patients was less than 8 years of age. Male to Female ratio was 1.5:1. 3. The most common symptoms were purpura, fever, anemia and epistaxis. 4. In the laboratory findings; Platelet count was below 50,000/mm(3) in I.T.P.(66.7%), leukemia(68.0%), aplastic anemia(89.5%) but was above 150,000/mm(3) in allergic purpura(93.1%). Bleeding time was prolonged above 4min. in thrombocytopenic purpura but was within normal limits in non-thrombocytopenic purpura.


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