沃里康纳醇诱导的乳头炎:一个病例报告
Tristan D Cooper-Roth1, Caleb R Boehler1, Stefano J Natali1
1Radiology, University of Arizona College of Medicine-Tucson, Tucson, USA.
Cureus
|October 27, 2023
概括
沃里康纳诱导的周周炎 (VIP) 是一种罕见的副作用,在免疫功能低下的患者中引起骨疼痛和骨折. 在有器官移植史和长期使用沃里可纳的患者中考虑VIP.
科学领域:
- 药理学 药理学 是一个学科.
- 整形外科 整形外科 整形外科
- 类风湿病学 类风湿病学
背景情况:
- 伏利康纳诱导的周周炎 (VIP) 是长期伏利康纳治疗的一个不常见的不良反应.
- 它主要影响免疫抑制患者,通常是那些有固体器官移植史的人.
- 临床表现包括骨头疼痛,脆弱性和性酸酶 (ALP) 的升高.
研究的目的:
- 为了呈现一个VIP病例,在一个免疫力低下的病人,关节骨折.
- 强调在风险人群中对骨疼痛和骨折的差异诊断中考虑VIP的重要性.
主要方法:
- 一个72岁的免疫功能低下的女性患者在沃里康纳治疗中的病例报告.
- 检查了临床表现,放射性发现和实验室结果.
主要成果:
- 这位患者在地面下跌后出现了切断的胸腔间骨折.
- 发现了暗示腹膜炎的放射特征,促使进一步调查.
结论:
- 对于患有骨痛和骨折呈现放射性周节炎的患者,在差异诊断中应考虑VIP.
- 长期使用伏利康纳,特别是在没有风湿病的固体器官移植接受者中,应该促使对潜在的VIP进行药物审查.
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