这是COVID-19吗? 让我看看你的手
David Bernal-Bello1, Celia Lara-Montes1, Beatriz Jaenes-Barrios2
1Department of Internal Medicine, Hospital Universitario de Fuenlabrada, Madrid, Spain.
The journal of the Royal College of Physicians of Edinburgh
|October 18, 2023
概括
一名患有抗合成酶综合征 (ASS) 的患者最初被误诊为COVID-19肺炎. 综合性评估揭示了被忽视的ASS症状和潜在的结肠恶性瘤,强调了需要警的查.
科学领域:
- 类风湿病学 类风湿病学
- 肺部病理学 肺部病理学
- 在瘤学瘤学.
背景情况:
- 抗合成酶综合征 (ASS) 是一种罕见的自身免疫性疾病.
- 随着COVID-19的流行,诊断面临着一些挑战.
- ASS被认为是异常发炎性肌肉病症中癌症的低风险亚组.
研究的目的:
- 为了突出COVID-19大流行期间ASS患者的诊断挑战.
- 强调全面临床评估对于准确诊断的重要性.
- 讨论ASS和潜在恶性瘤之间的关联.
主要方法:
- 一名患有ASS患者的病例报告被误诊为COVID-19肺炎.
- 对身体检查和实验室发现的审查.
- 查潜在的恶性瘤.
主要成果:
- 患者最初被误诊为严重急性呼吸综合征冠状病毒2型肺炎.
- 被忽视的物理和实验室数据与ASS一致.
- 在癌症查期间发现了一种恶性结肠病变.
结论:
- 综合性临床评估对于早期和准确的ASS诊断至关重要,即使是在大流行期间.
- 虽然ASS可能代表癌症风险较低,但对恶性查的充分查仍然至关重要.
- 这一案例强调了在ASS患者中进行量身定制的癌症查的必要性,考虑到个体风险因素.
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