经常性时间性感染:与全身性红斑狼的联系
Syafiqah Aina Shuhardi1, Mohd Shahrir Mohamed Said2, Thean Yean Kew3
1Department of Oral and Maxillofacial Surgery, Hospital Canselor Tuanku Muhriz, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia.
The American journal of case reports
|December 29, 2023
概括
系统性红斑狼 (SLE) 可以表现为复发性感染. 这一案例突出显示了临时性肌肉炎和骨髓炎作为潜在的SLE表现,成功地用氧化和普雷迪尼索隆治疗.
科学领域:
- 类风湿病学 类风湿病学
- 传染性疾病 传染性疾病
- 放射学 放射学是一门学科.
背景情况:
- 系统性红斑狼 (SLE) 是一种复杂的自身免疫性疾病,临床表现各异.
- 肌肉骨和感染性表现在SLE患者中很常见.
- 寺的反复感染可能具有诊断和治疗的挑战性.
研究的目的:
- 报告一个中年妇女的反复发生的部感染病例.
- 为了调查持续感染的根本原因,尽管标准治疗.
- 突出潜在的自身免疫链接与不寻常的传染病呈现.
主要方法:
- 临床检查和详细的病史.
- 先进的成像:计算机断层扫描 (CT) 和磁共振成像 (MRI) 头部和脸部.
- 实验室调查包括自身免疫标记物 (反核抗体,抗dsDNA) 和补充水平 (C3,C4).
主要成果:
- 图像检测显示了肌骨的周骨反应,肌肌肉变厚和骨髓炎.
- 自身免疫标志物呈阳性,C3和C4水平较低,证实了SLE诊断.
- 用氧化和普雷迪尼索隆治疗导致感染消失,并在6个月内显著愈合.
结论:
- 时间性肌肉炎和肌骨骨质炎可能是SLE的罕见表现.
- 及时诊断潜在的SLE对于有效管理这些复杂的感染至关重要.
- 涉及风湿病学,传染病和放射学的多学科方法是有益的.
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