All issues > Volume 22(9); 1979

Original Article

J Korean Pediatr Soc. 1979;22(9):780-786. Published online September 15, 1979.

Clinical Studies on Purpura in Children.

S K Lee, A R Kim, K J Nam, S H Shin

¹Dept of Pediatrics, Presbyterian medical center, Jeon-Ju, Korea.

Abstract

This is a clinical study of 98 cases of purpura who were admitted to our Pediatric Dep't of Presbyterian medical center from Jan. 1973 to Dec. 1977. There were 57 boys and 41 girls and the results were as follows: 1. Allergic purpura was the most common cause of purpura comprising 28.6%(28 cases), followed by meningococcemia 23.5% (23 cases), I.T.P. 18.4%(18 cases), leukemia 13.3%(13 cases), aplastic anemia 7.1%(7 cases), sepsis 6.1%(6 cases) and hemophilia 3%(3 cases). 2. The highest incidence was etween the ages of 2~6 years and males (57 cases) were affected more frequently than females (41 cases). 3. The main clinical features of allergic purpura was abdominal pain, vomiting, proteinuria and jount pain, and in meningococcemia, fever, vomiting and headache were the main features. In thrombocytopenic purpura (I.T.P., Leukemia, Aplastic anemia and Sepsis), anemia, fever and epistaxis were the main features. 4. Laboratory findings: Anemia was severe in most cases of leukemia and was prominent in aplastic anemia and hemophilia. Platelet count in I.T.P., Leukemia and Aplastic anemia was below 50,000/cummexcept 1 cases. And the bleeding time was prolonged in most cases of I.T.P.and normal in allergic purpura, and the coagulation time was normal in most cases of I.T.P. and allergic purpura.

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