病例报告:POEMS综合征伪装成糖尿病脚病
Guang-Xin Zhou1, Li Xiao1, Yong-Min Bi2
1Department of Endocrinology, Air Force Medical Center, Air Force Medical University, Beijing, China.
Frontiers in neurology
|February 12, 2024
概括
糖尿病脚可能是潜在的POEMS综合征的信号,这是一个罕见的疾病. 早期诊断和使用莱纳利多米德和甲等疗法的治疗可以改善患者的治疗结果.
科学领域:
- 内分泌学 在内分泌学.
- 神经学 神经学
- 在瘤学瘤学.
背景情况:
- 糖尿病足很常见,但相关的全身症状可能令人困惑.
- 慢性炎症性脱髓化多神经病变 (CIDP) 可以伴随神经病变,但可能会错过其他POEMS综合征特征.
- POEMS综合征是一种罕见的多系统性疾病,通常伴有外围神经病变.
研究的目的:
- 为了突出糖尿病足和POEMS综合征之间的关联.
- 强调在患有看似糖尿病并发症和全身症状的患者中识别POEMS综合征的重要性.
- 倡导提高对POEMS综合征的认识和及时诊断.
主要方法:
- 一个54岁的妇女患有糖尿病足病和外围神经病变的案例介绍.
- 诊断工作包括对有机巨变,内分泌病变,单克隆性胃病变和VEGF升高的评估.
- 用莱纳利多米德和甲治疗.
主要成果:
- 该患者被诊断为POEMS综合征,由单克隆血细胞增殖和升高的VEGF证实.
- 葡萄糖皮质醇治疗显示肌肉强度的部分改善.
- 用莱纳利多米德和德克萨米治疗导致糖尿病足的愈合,以及肌和疲劳的改善.
结论:
- 糖尿病足可能是潜在的POEMS综合征的初始表现.
- 迅速识别和治疗POEMS综合征对于管理复杂的患者表现至关重要.
- 需要提高临床意识来诊断这种罕见但重要的疾病.
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