系统性狼红斑发作伪装成双边下肢非坑洞性胀:一个病例报告
Ayesha Khan1, Hala Mouhydeen1, Hussein Gharib2
1School of Medicine, St. George's University, St. George, GRD.
Cureus
|December 7, 2023
概括
系统性红斑狼 (SLE) 可以出现严重的爆发,仅表现为非穴位下肢胀. 这一案例凸显了在患者中考虑SLE的重要性.
科学领域:
- 类风湿病学 类风湿病学
- 腎臟病學 (nephrology) 是一種醫學專業.
- 内部医学 内部医学
背景情况:
- 系统性红斑狼 (SLE) 是一种具有多种临床表现的慢性自身免疫性疾病.
- SLE通常会影响多个器官系统,导致显著的发病率.
- 胀是SLE的公认症状,但作为唯一呈现症状的非插孔下肢胀并不常见.
研究的目的:
- 报告一种罕见的严重SLE爆发病例,仅表现为非的LE胀.
- 为了突出考虑SLE在患有不明原因的非坑性LE胀的患者中的重要性.
- 要强调的是,LE胀可能是多系统性SLE爆发的主要症状.
主要方法:
- 一个患者的病例报告,该患者患有新发的双边LE非穴位胀.
- 排除其他原因,如甲状腺功能低下症和淋巴.
- 使用实验室标记和SLE疾病活动指数 (SLEDAI) 评分来评估SLE活动.
主要成果:
- 这位患者的非穴位LE胀是严重SLE爆发的唯一呈现症状.
- 排除了其他可能导致的原因.
- edem 通过皮质类固醇治疗和利尿剂有效地消失.
结论:
- 无坑的LE胀可能是严重的SLE爆发的孤立初始表现.
- 临床医生必须考虑SLE在患者的差异诊断呈现与非坑的LE胀.
- 快速诊断和治疗SLE对于管理严重发作和预防并发症至关重要.
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