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Different management options for anaphylactoid purpura with intussusception: a case report
1Department of Pediatrics, Chang Gung Children's Hospital, 123 Ta-Pei Road, Niaosung, Kaohsiung, Taiwan, ROC.
Abstract:
Intussusception is the most common surgical indication of anaphylactoid purpura. About 50% of cases are of the ileo-ileal type. Surgical intervention, rather than radiologic reduction, is preferable for older children suffering from anaphylactoid purpura with intussusception, where a lead point lesion is often found. The authors report a case of anaphylactoid purpura with intussusception with spontaneous reduction, and postulate that subsequent to relieving bowel-wall edema using antihistamine and steroid therapy, the ileo-ileal intussusception may spontaneously reduce.
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