血流性心周溢血是病的呈现症状
Hajar Joulal1, Jaouad Yousfi1, Laïla Benjilali1
1Department of Internal Medicine, University Hospital Center of Mohammed VI, Marrakech, Morocco.
European journal of case reports in internal medicine
|September 8, 2023
概括
出血性心周炎可能是维生素C缺乏症 (松) 的罕见,孤立的迹象. 早期诊断和治疗维生素C缺乏症对于改善这种疾病患者的治疗结果至关重要.
科学领域:
- 心脏病学 心脏病学
- 内部医学 内部医学
- 营养科学 营养科学
背景情况:
- 维生素C缺乏或疹通常表现为皮肤症状和几周的伤口愈合障碍.
- 血液性心膜炎是皮病的一种罕见并发症,很少被报告为单独的呈现.
- 这一病例呈现出出血性心膜炎的独特实例,作为维生素C缺乏的初始指标.
研究的目的:
- 报告出血性心膜炎的病例,显示出潜在的维生素C缺乏.
- 强调考虑维生素C缺乏症在无法解释的出血性心周溢血的差异诊断中的重要性.
- 突出皮病可能出现异常,严重的心脏并发症的可能性.
主要方法:
- 一名56岁的女性患者出现了暗示心脏栓塞的症状.
- 诊断工作包括成像 (超声波,CT扫描),实验室测试 (血液培养,凝血概况,自身免疫标记物,瘤标记物,传染病工作) 和维生素C水平评估.
- 治疗干预涉及紧急心脏衰竭,随后是高剂量维生素C治疗.
主要成果:
- 患者表现为胸痛,呼吸不全,心动减速,低血压和心周溢出迹象.
- 周心造产生了出血液;对于常见原因的周心炎的初步检查是负面的.
- 实验室检测显示维生素C水平极低 (<3umol/L).
- 在补充维生素C后,患者表现出显著的临床改善,并保持无症状.
结论:
- 出血性心周炎可以是维生素C缺乏症的初始和孤立表现 (皮病).
- 维生素C缺乏应纳入出血性心脏坦普的差异诊断中,即使没有典型的病症状.
- 及时识别和管理维生素C缺乏症对于改善潜在致命疾病的预后至关重要,例如与皮病有关的心脏并发症.
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