乳腺炎作为一种罕见的初始表现,在怀疑Crest综合征的患者中
Arkaja Singh1, Sameer Rao2, Riya Shah3
1Department of Medicine, Mahatma Gandhi Medical College, Jaipur, India.
European journal of case reports in internal medicine
|October 7, 2024
概括
本病例报告详细介绍了一例罕见的乳腺炎作为CREST综合征的初始症状 (瘤,雷诺现象,食道动力障碍,硬化症和透视症). 它强调识别系统性硬化症诊断的非典型表现.
科学领域:
- 眼科医生 眼科 眼科
- 类风湿病学 类风湿病学
- 皮肤病学 皮肤病学
背景情况:
- 系统性硬化症 (SSc) 是一种罕见的慢性自身免疫性疾病,表现不同.
- 在SSc的眼部表现很少被报告.
- 乳腺炎,或眼腺炎,可以是潜在的全身疾病的迹象.
研究的目的:
- 报告一种罕见的乳腺炎病例,作为CREST综合征的初始表现.
- 突出考虑慢性轨道炎症中的全身关联的重要性.
- 强调CREST综合征的诊断挑战和非典型表现.
主要方法:
- 一个51岁的南亚妇女的病例报告,她的左上眼无痛地胀.
- 超声波检查显示,眼腺扩大,血管性增加.
- 对对保守治疗无反应的乳腺炎的检查,包括对抗核抗体的血清学检测.
主要成果:
- 这位患者出现了对初始治疗无反应的乳腺炎.
- 检测到积极的抗核抗体.
- 这种情况被诊断为CREST综合征的罕见初始表现 (瘤,雷诺现象,食道动力障碍,硬化症和透视症).
结论:
- 乳腺炎可能是CREST综合征的非典型初始症状.
- 血清学标志物和外围临床症状对于诊断系统性疾病至关重要.
- 意识到不寻常的表现对于及时诊断和系统性硬化症的管理至关重要.
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