All issues > Volume 10(8); 1967

Original Article

J Korean Pediatr Soc. 1967;10(8):411-416. Published online August 31, 1967.

Clinical Studies on Purpuras

Ki Joon Kim¹, Se Joo Kang¹, In Moo Hur¹, Nahm Ji Cho¹, Duk Jin Yun¹

¹Department of Pediatrics, College of Medicine,Yonsei University

Abstract

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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