二次性硬化胆管炎 (SSC):严重的COVID-19肺炎的一个未被认可的并发症
Mariya Pogorelova1, Victoria Kusztos1
1Department of Medicine, Mayo Clinic, Rochester, USA.
COVID-19 二次性硬化胆炎 (COVID-SSC) 是一种罕见的肝脏疾病,可在严重的COVID-19后发展. 早期怀疑是关键,因为它可能无症状呈现,酸酸酶水平升高.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 传染性疾病 传染性疾病
- 临界护理医学 临界护理医学
背景情况:
- COVID-19二次性硬化性胆管炎 (COVID-SSC) 是重症患者 (SSC-CIP) 中的一种特定形式的二次性硬化性胆管炎.
- 它的特点是性酸酶主导的肝酶升高,通常是在COVID-19诊断后三个月内,通常是在严重感染后.
研究的目的:
- 要突出一个COVID-SSC病例,在一个有严重COVID-19肺炎病史的患者中呈现无症状.
- 强调在COVID-19后胆固醇病的差异诊断中考虑COVID-SSC的重要性.
主要方法:
- 案例报告的呈现方式.
- 对COVID-SSC的临床表现,诊断挑战和管理考虑的审查.
主要成果:
- 在严重的COVID-19几个月后,在一个无症状患者中发现了临床沉默的COVID-SSC病例.
- 患者最初被误诊为自身免疫性肝炎,并出现了早期肝硬化.
结论:
- 应考虑在患有不明原因胆固醇病变和COVID-19病史的患者中使用COVID-SSC,特别是那些患有严重疾病或接受ICU治疗的患者.
- 在COVID-19后的患者中,全科医生应保持对不成比例的性酸酶升高的高度怀疑指数.
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