在患有活跃狼的患者的上臂深静脉血栓
Mahmoud Farouk Kamel Hassanein1, Alaa Ebrahim1, Stephanie Alcine Joseph1
1Department of Internal Medicine, Seychelles Hospital, Healthcare Agency, Victoria, Seychelles.
European journal of case reports in internal medicine
|January 10, 2025
概括
单侧手臂胀可能表明上肢深静脉血栓症 (UEDVT),这是系统性红斑狼 (SLE) 的罕见初始症状. 早期识别异常性UEDVT对于诊断SLE等潜在的自身免疫性疾病至关重要,即使没有抗脂综合征.
科学领域:
- 类风湿病学 类风湿病学
- 血管医学 血管医学
- 内部医学 内部医学
背景情况:
- 上肢深静脉血栓塞 (UEDVT) 不常见,特别是作为系统性红斑狼 (SLE) 的初始表现.
- 结核病是一种慢性自身免疫性疾病,影响生育年龄的妇女,增加血栓形成的风险,通常在腿部.
- UEDVT是SLE的一个不寻常的表现,即使在具有抗脂抗体的患者中也是如此.
研究的目的:
- 突出表态性UEDVT作为SLE的潜在早期指标.
- 强调在自发单边手臂胀的情况下,对潜在的自身免疫性疾病进行彻底调查的重要性.
- 在没有抗脂综合征的情况下讨论UEDVT和狼性炎的初始管理.
主要方法:
- 一个36岁的女性患有单侧手臂胀的病例介绍.
- 诊断工作包括多普勒超声波和CT扫描与UEDVT的对比.
- 进行全面的调查,以诊断出SLE并排除抗脂综合征.
主要成果:
- 该患者被诊断为左侧UEDVT,随后导致诊断为SLE.
- 抗脂综合征被排除为血栓形成的原因.
- 该患者患有狼性炎,并接受了抗凝剂和高剂量类固醇治疗,由于出血风险,推迟了脏活检.
结论:
- 异常性UEDVT可能是SLE的早期迹象,需要高度的怀疑指数和多学科调查.
- 标准抗凝剂和类固醇可能是UEDVT和狼性炎的适当初始治疗方法.
- 由于抗凝治疗,患有高出血风险的患者可能会推迟脏活检.
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