| Clinical Studies on Purpuras |
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Ki Joon Kim, Se Joo Kang, In Moo Hur, Nahm Ji Cho, Duk Jin Yun |
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Department of Pediatrics, College of Medicine,Yonsei University |
| 紫斑病의 臨床的 觀察 |
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金基準, 姜世周, 許寅茂, 趙南社, 尹德鎭 |
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延世大學校醫科大學小兒科學數室 |
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| Abstract |
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We observed clinically 62 cases who were admitted with complaining of Purpura at the Pediatric Department of Severance Hospital during a period of 6 years and 10 months from October, 1959 to July, 1966. In 62 cases, leukemia, 27. 3% (17 cases), was most common disease, followed by allergic purpura and aplastic anemia, and idiopathic thrombocytopenic purpura in order and the incidence was 20. 9% (13 cases) and 14.5% (9 cases) respectively. The highest incidence appeared to be between the ages of six and ten years, and males were affected more frequently than females. The clinical findings showed purpura, anemia, fever, epistaxis, abdominal pain, bloody stool and hematuria in order of frequency. With the exception of purpuric manifestation and epistaxis in idiopathic throbocytopenic purpura there were few physical findings, but abdominal pain, joint pain and hematuria in allergic purpura were noticed. In the labaratory findings of idiopathic thrombocytopenic purpura there were a platelet count usually below 100,000/cu.mm, prolonged bleeding time, positive tourniquet test and poor clot retraction, but those tests of allergic purpura were normal.
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