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患者 男、18岁,住院号45060,1983年5月18日入院。1981年曾患“过敏性紫癜”。此次入院前两周全身皮肤出现红色斑丘疹,以双侧前臂及小腿为最多。同时有尿少,腹部隐痛及黑便,无心悸或心前区疼痛。体检:四肢及躯干皮肤有红色斑丘疹,按压不退色,双侧前臂及小腿密集,大部分互相融合。心前区闻及心包摩擦音。检验:血红蛋白、血小板及出凝血时间正常,白细胞总数及中性偏高,尿蛋白+++,红细胞10～13/高倍,粪潜血试验阳性。胸片心肺无异常,心电图示完全性右束支传导阻滞。
Male patient, 18 years old, hospital number 45060, May 18, 1983 admission. 1981 had “allergic purpura.” Two weeks before admission, red rash appeared on the skin of the whole body with bilateral forearms and calves as the most. At the same time, less urine, abdominal pain and melena, no palpitations or precordial pain. Physical examination: red rash on the extremities and trunk of the skin, no color fading, bilateral forearms and lower leg intensive, mostly fused with each other. Anterior precordial and pericardial friction sound. Test: Hemoglobin, platelets and clotting time is normal, the total number of leukocytes and high neutral, urinary protein +++, red blood cells 10 ~ 13 / high, fecal occult blood test was positive. No abnormal chest X-ray, ECG complete right bundle branch block.