当教育图像不反映人口时:肌病Cerulea Dolens,一个案例报告
Kasha Bornstein1, Elizabeth LaRosa2, Kelsey Byrd2
1Louisiana State University Health Sciences Center, Department of Internal and Emergency Medicine, New Orleans, Louisiana.
Clinical practice and cases in emergency medicine
|June 13, 2024
概括
肌病 (PCD) 是一种罕见但严重的疾病,由于视觉参考有限,在皮肤较暗的患者中经常错过. 不管肤色如何,识别临床症状对于及时诊断和治疗至关重要.
科学领域:
- 血管医学 血管医学
- 皮肤病学 皮肤病学
- 医学诊断 医学诊断 医学诊断
背景情况:
- 乳腺 (phlegmasia cerulea dolens,简称PCD) 是一种罕见的,严重的深静脉血栓症并发症.
- 诊断标准和文献主要包括较浅的皮肤表现,这可能会延迟皮肤较深的患者的诊断.
- 皮肤色素可能会掩盖PCD的临床表现,使识别复杂化.
研究的目的:
- 突出在皮肤较暗的患者中诊断PCD的挑战.
- 强调需要承认PCD的临床发现,无论皮肤颜色如何.
- 强调包容性医学成像和文献的重要性.
主要方法:
- 在皮肤较暗的患者中PCD的病例报告.
- 60个PCD病例报告的文献综述.
- 在已发表的文献中分析PCD在不同肤色的图像表示.
主要成果:
- 在皮肤较暗的患者中,由于缺乏代表性的视觉诊断标准,PCD诊断可能会延迟.
- 在60份经过审查的PCD病例报告中,只有2份包括有色人种患者的图像.
- 病理学物理检查结果通常是基于更浅的皮肤表现来描述的.
结论:
- 及时诊断PCD需要意识到在不同的皮肤颜色中呈现的潜在变化.
- 医学文献和诊断资源必须包括多样化的患者群体,以确保准确地识别PCD等疾病.
- 在所有患者中,无论皮肤肤色如何,对PCD进行临床警至关重要.
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