深静脉血栓瘤揭示了一个"沉默"的病
Sofia Miranda1, Patrícia Clara2, Joana Rua2
1Internal Medicine Department, Hospital do Divino Espírito Santo, Ponta Delgada, Portugal.
European journal of case reports in internal medicine
|September 8, 2023
概括
病是一种全身性疾病,即使没有胃肠道症状,也可以表现为深静脉血栓症 (DVT). 早期考虑腹腔疾病对于管理血栓栓塞的治疗至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 血液学 血液学 血液学
- 免疫学 免疫学 免疫学
背景情况:
- 深静脉血栓 (DVT) 和严重的感染在一个45岁的男性中是复发性的.
- 低albuminemia表明蛋白质损失的条件,促使进一步调查.
研究的目的:
- 为了调查乳病和复发性DVT之间的潜在联系.
- 突出病作为一种全身性疾病,具有肠外表现.
主要方法:
- 一个患有复发性DVT和感染的患者的临床病例陈述.
- 诊断工作包括上部内镜和HLA类型.
- 治疗包括无质饮食和抗凝固调整.
主要成果:
- 内镜检查显示了类似于乳发作的病变;HLA类型测定对DQ-2和DQ-8呈阳性.
- 患者在开始无质饮食后没有出现新的并发症.
结论:
- 病是一种全身性疾病,血栓塞栓症可以是肠外表现.
- 在患有血栓栓塞栓症的患者中,即使没有胃肠道症状,也应该考虑患有病.
- 与腹腔疾病相关的DVT中的抗凝血持续时间需要进一步的共识.
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