黑数字很重要:一个多专业的
Abhijeet Agrawal1, Jahnabi Bhagawati1, Sunil Kumar1
1Department of Medicine, Jawaharlal Nehru Medical College, Wardha, IND.
Cureus
|April 1, 2024
概括
数字性缺血是系统性疾病的标志,需要广泛的医疗意识. 早期的风湿学评估可以防止严重的后果,如肢体损失.
科学领域:
- 类风湿病学 类风湿病学
- 血管医学 血管医学
- 自免疫性疾病 自免疫性疾病
背景情况:
- 数字性缺血,是内脏缺血事件的严重表现,可以表明潜在的系统性疾病.
- 早期识别和管理对于预防组织损伤和亡至关重要.
研究的目的:
- 调查数字缺血的各种类风湿病因.
- 突出关节病学观点在跨专业的数字缺血病管理中的重要性.
主要方法:
- 六名患有数字缺血的患者的病例系列.
- 排除感染性,创伤性,心脏性,药物诱导性和恶性原因.
- 评估自身免疫原因,包括抗核抗体 (ANA),抗脂抗体,可提取核抗原 (ENA),多普勒超声波和血管造影.
主要成果:
- 六名患者 (两名儿科,四名成人) 呈现数字性缺血症.
- 诊断包括多发性硬化症,全身性红斑狼和塔卡亚苏动脉炎.
- 患者通常最初被介绍给非风湿病学部门.
结论:
- 数字性缺血是一个多学科问题,经常与类风湿病相关.
- 及时的风湿病学转诊对于预防手指和四肢损失至关重要.
- 提高所有专业领域的意识对于有效的患者管理至关重要.
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