患者男，40岁，因“双下肢紫癜伴血尿3天”来诊。患者于7天前出现咽痛，3天前出现双下

发布时间：2017-06-23 01:11 │ 来源：www.tikuol.com

题型：多项选择题案例分析题

问题：

患者男，40岁，因“双下肢紫癜伴血尿3天”来诊。患者于7天前出现咽痛，3天前出现双下肢紫癜伴血尿、腹痛、黑粪，无发热。查体：双下肢可见大小不等、对称分布的暗红色紫癜，按之不褪色，略高出皮面。实验室检查：血小板150×10⁹/L，白细胞及血红蛋白正常；尿常规：隐血（++），蛋白（++），红细胞满视野，血小板功能检测正常，凝血功能试验正常，骨髓象正常。

皮肤病变部位及肾小球系膜部位沉积物最大可能是（）

A.IgE

B.IgA1

C.中性粒细胞

D.补体

E.IgM

F.IgA2

考点：血液病学(医学高级)医学高级血液病学（正高）押题密卷二

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