通过多发性骨髓瘤加剧的全身性硬化症的临界数字缺血症:一个病例报告
Andre Silva Franco1, Gabriel Berlingieri Polho2, Ana Paula Luppino Assad1
1Division of Rheumatology, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil.
Journal of scleroderma and related disorders
|September 25, 2023
概括
系统性硬化和多发性骨髓瘤可以同时发生,导致严重的数字缺血症. 这一案例突出了一个患有这两种疾病的患者,尽管因多发性骨髓瘤重新激活而接受治疗,但需要截肢.
科学领域:
- 类风湿病学 类风湿病学
- 血液学 血液学 血液学
- 在瘤学瘤学.
背景情况:
- 系统性硬化症和血液性恶性瘤,特别是多发性骨髓瘤,以前一直存在关联.
- 本案例报告重点关注系统性硬化症和多发性骨髓瘤的罕见重叠.
研究的目的:
- 在患有全身性硬化症和多发性髓瘤的患者中呈现严重的数字缺血病例.
- 在此背景下讨论超粘度综合征的诊断挑战和管理.
主要方法:
- 一个65岁的女性病例报告,患有有限的系统性硬化症,烂的多发性骨髓瘤和自身免疫性肝炎.
- 该患者出现了严重的数字和脚缺血症,导致由于多发性骨髓瘤重新激活而导致高粘度综合征的假设.
主要成果:
- 尽管化疗和初步实验室改善,但由于干性缺血症,患者需要截肢19个数字.
- 这一案例强调了在重叠的系统性硬化症和多发性骨髓瘤中缺血性并发症的严重性.
结论:
- 系统性硬化症和多发性骨髓瘤之间的关联,虽然很少见,但在雷诺现象恶化的情况下需要考虑.
- 在严重恶化时,特别是在患有并发症的患者中,应调查其他原因.
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