在有肌肉骨病情的整形外科患者中揭露急性淋巴细胞白血病
Tze Kwan Sharon Mok1, Benjamin Kah Chun Cheong1, Kevin Hsu Kai Huang1
1Chiropractic, New York Chiropractic and Physiotherapy Centre, New York Medical Group, Hong Kong, CHN.
Cureus
|July 24, 2023
概括
一位治疗师在一个患有部和背部疼痛的患者身上发现了急性淋巴细胞白血病 (ALL). 早期检测和跨学科合作导致缓解,突出了初级接触临床医生在诊断严重疾病中的作用.
科学领域:
- 血液学 血液学 血液学
- 在瘤学瘤学.
- 神经学 神经学
- 整形外科的治疗方法
背景情况:
- 肌肉骨疾病可以掩盖严重的潜在疾病.
- 早期识别造血性恶性瘤对于患者的治疗结果至关重要.
- 整形外科医生作为主要的接触临床医生,需要对非肌肉骨病理的认识.
研究的目的:
- 呈现一种急性淋巴细胞白血病 (ALL) 病例,最初呈现为肌肉骨疼痛.
- 强调手术医生在识别系统性疾病的红旗方面的重要性.
- 突出跨学科合作在管理复杂的血液恶性瘤的价值.
主要方法:
- 一名67岁的女性患者出现了部和腰部疼痛,麻醉,疲劳和白.
- 血液学评估显示严重的血小板缺血和贫血,促使进一步调查.
- 骨髓活检和胆型定型证实了费城染色体阳性ALL.
主要成果:
- 患者在针对性氨酸激酶抑制和内化疗后实现了完全缓解.
- 持续的感觉运动症状归因于免疫抑制的继发性疹神经疼痛.
- 该案例证明了通过协作护理的成功诊断和管理.
结论:
- 整形外科医生在识别出现肌肉骨问题的严重病理方面发挥着至关重要的作用.
- 审慎的历史记录,身体评估和调查的解释是关键.
- 专业间的合作对于有效的治疗策略和改善ALL的预后至关重要.
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