乙烯糖醇的临床表现和病理学
Shogo Taira1, Shiori Tamayose2, Tasuku Kikumura2
1Department of Nephrology, Yuuai Medical Center, 50-5 Yone, Tomigushuku City, Okinawa, 901-0224, Japan. ststarara9@gmail.com.
CEN case reports
|August 12, 2024
概括
乙烯糖醇中毒会导致严重的代谢酸化和损伤,原因是有毒代谢物如酸盐. 脏活检揭示了水晶沉积和管间损伤在一个关键的情况下.
科学领域:
- 毒理学 毒理学 毒理学
- 腎臟病學 (nephrology) 是一種醫學專業.
- 病理学 病理学 病理学
背景情况:
- 乙烯糖醇 (EG) 中毒是一种危及生命的疾病.
- EG的新陈代谢产生有毒的代谢物,导致代谢酸化和器官损伤.
- 人类EG中毒时的病态很少被报告.
研究的目的:
- 为了呈现一个细节的病例,脏病理后,乙烯基醇摄入.
- 突出脏活检在EG中毒中的诊断效用.
- 强调在无法解释的代谢酸化和功能障碍中识别EG中毒的重要性.
主要方法:
- 一个44岁男性的病例报告,怀疑摄入了致命剂量的EG.
- 临床评估包括血液测试以检测代谢性酸化和尿液分析以检测酸盐晶体.
- 通过持续的置换疗法进行治疗.
- 在摄入后的31天进行脏活检.
主要成果:
- 患者表现为意识丧失,代谢性酸症,尿液中含有氧化晶体.
- 持续的替代疗法解决了酸性化症,但发生了原性无味糖尿病.
- 脏活检显示了显著的氧化酸晶体沉积和管间损伤.
- 观察到水晶沉积,粘附和降解的各个阶段.
结论:
- 在无法解释的代谢酸化和功能障碍的情况下,应考虑乙烯糖醇中毒.
- 脏活检是一种有价值的诊断工具,用于确认EG诱导的病理.
- 了解EG对的影响对于及时诊断和有效管理至关重要.
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