Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Acute compartment syndrome of the hand in Henoch-Schonlein Purpura. | Journal of Medical Case Reports BioMed Central Open Access Case report Acute compartment syndrome of the hand in Henoch-Schonlein Purpura Guntur E Luis and Eng-Seng Ng Address Department of Orthopedics Surgery Faculty of Medicine University of Malaya Kuala Lumpur Malaysia Email Guntur E Luis - g38lui2000@ Eng-Seng Ng - dresng@ Corresponding author Published 2 March 2007 Received 15 December 2006 -. J . J _. n Accepted 2 March 2007 Journal of Medical Case Reports 2007 1 6 doi 1752-1947-1-6 This article is available from http content 1 1 6 2007 Luis and Ng licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract An eight year old boy with Henoch-Schonlein Purpura HSP presented with acute compartment syndrome ACS of his left hand following arterial cannulation of his radial artery in intensive care unit. Emergency decompression and fasciotomy were performed. The authors report this first case in literature and discuss how HSP can be complicated by ACS and ways to prevent the latter from happening. Background Henoch-Schonlein Purpura is one of the most common vasculitides of childhood and is considered to be self-limiting. One manifestation of HSP that can continue to cause lifelong problems is renal involvement 1 . In 1990 the American College of Rheumatology published diagnostic criteria for HSP. These included 1 Palpable purpura-slightly raised palpable hemorrhagic skin lesions not related to thrombocytopenia 2 Age less than 20 at disease onset-patient 20 years or younger at onset of first symptoms 3 Bowel angina-diffuse abdominal pain worse after meals or the diagnosis of bowel ischemia usually including bloody diarrhea and 4 Wall granulocytes on biopsy-histologic .
