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Clinical Studies in purpuras in Children.

Journal of the Korean Pediatric Society 1983;26(1):41-47.
Published online January 31, 1983.
Clinical Studies in purpuras in Children.
Man Ki Hong, Kyung Sik Nho, Kyung Tai Whang, Kyung Soo Lee
Department of Pediatics,Catholic Medical College,Seoult Korea
소아 자반병의 임상적 고찰
홍만기, 노경식, 황경태, 이경수
가톨릭 의과대학 소아과학교실
Clinical observations was made on 191 cases of children with purpura who admitted to the pediatric department of St. Mary’s Hospital College from Jan, 1971 to Dec, 1980. Boys were: 116 cases and girls were 75 cases . The results were as follows. 1. Allergic purpura was the most common cause of purpura, followed by leukemia, idiopa-thic thrombocytopanic purpura, aplastic anemia in order of decreasing frequency. 2. The highest incidence appeared between the ages of 3-9 years and male (124 cases) was affected more frequently than female (67 cases) 3.Anemia, fever, nasal bleeding, hepatomegaly were main clinical features in thrombocy topenic purpura and abdominal pain, arthralgia, occult blood were in nonthromocytopenic purpura. 4. In aplastic anemia, leukemia, idiopathic thrombocytopenic purpura, anemia has occured in 100%, 82%, 60%, respectively. Leukocytosis was moted in leukemia, sepsis,meningococcal meningitis; Leukopendia in most of aplastic anemia. The platelets count were usually below 100,00/mm3 in idiopathic thrombocytopenic purpura, leukemia, aplastic anemia. 5. There were prolonged bleeding time,normal coagulation, time and positive Rumpel-Leede test in most of the idiopathic thrombocytopenic purpura and normal bleeding time, normal coagulation time and negative Rumpel-Leede test in most of allergic purpura.
Key Words: Purpura.

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