血液性心脏吸血作为有限的皮肤系统性硬化症的并发症
Faria Sami1, Shahzad Ahmed Sami2, Saman Tanveer3
1Internal Medicine, Allama Iqbal Medical College, Lahore, PAK.
Cureus
|June 7, 2023
概括
心脏吸管,系统性硬化症 (SSc) 的罕见并发症,可以由COVID-19引发. 早期识别和干预对于管理SSc患者这种危及生命的疾病至关重要.
科学领域:
- 心脏病学 心脏病学
- 类风湿病学 类风湿病学
- 传染性疾病 传染性疾病
背景情况:
- 心脏吸管是系统性硬化症 (SSc) 的不常见但高死亡率的并发症.
- 有限皮肤系统性硬化症 (lcSSc) 可能伴有心脏干扰,包括心周溢血.
- 最近的COVID-19感染被认为是自身免疫性爆发的潜在触发因素.
研究的目的:
- 报告一个罕见的出血性心脏坦波纳病例,该病例发生在患有有限皮肤系统性硬化症 (lcSSc) 的患者身上.
- 突出最近的COVID-19感染作为lcSSc爆发和随后的心脏并发症的触发因素的潜在作用.
- 强调早期诊断和对lcSSc患者心脏栓塞的干预的重要性.
主要方法:
- 一个58岁的女性患者的病例报告,患有lcSSc,GERD,糖尿病和PHTN.
- 在最近的COVID-19感染后,呈现急性呼吸不良和anasarca.
- 诊断工作包括心声回声,右心导管,心周液分析等.
- 用mycophenolate mofetil和类固醇治疗lcSSc炎症的治疗方法.
主要成果:
- 该患者出现了大量的出血性心周溢血和早期的心脏坦波纳德.
- 心声扫描显示了与腔室崩的显著输出,右心导管检查证实了肺高血压 (PHTN).
- 周心切术成功地排出了输液,患者对lcSSc爆发的免疫抑制疗法做出了良好反应.
结论:
- 出血性心脏坦波纳是一个非常罕见的lcSSc.表现.
- 最近的COVID-19感染可能会成为lcSSc爆发的触发因素,导致严重的并发症.
- 临床医生应保持对lcSSc患者心脏损害的高度怀疑指数,特别是在最近感染后.
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