案例报告:在一个患有全身性红斑狼的患者中,快速减肥引发了破子综合征
Chen Li1,2, Yu-Wei Wang3, Han Sheng4
1Department of Dermatology, Tianjin Institute of Integrative Dermatology, Tianjin Academy of Traditional Chinese Medicine Affiliated Hospital, Tianjin, China.
International journal of rheumatic diseases
|March 25, 2025
概括
坚果破碎症候群 (NCS) 是一种罕见的血管疾病,在快速减肥后观察到一个患有全身性红斑狼 (SLE) 的患者. 这一案例凸显了SLE患者显著减肥和NCS发展之间的潜在联系.
科学领域:
- 血管医学 血管医学
- 腎臟病學 (nephrology) 是一種醫學專業.
- 类风湿病学 类风湿病学
背景情况:
- 裂坚果综合征 (NCS) 是一种罕见的血管疾病,涉及左静脉的压缩,通常表现为血,蛋白尿和侧面疼痛.
- 虽然经常与减肥和解剖学变异有关,但NCS以前没有与系统性红斑狼 (SLE) 相关.
研究的目的:
- 描述SLE患者在快速减肥后出现的NCS病例.
- 探索SLE患者减肥与NCS发展之间的潜在关联.
主要方法:
- 一个44岁男性患有SLE并患上NCS的病例报告.
- 临床表现包括腹痛,血液和蛋白尿.
- 诊断成像证实左静脉的压缩.
- 关于NCS,减肥和血管压缩综合征的文献综述.
主要成果:
- 患者在显著减肥后出现了与NCS一致的症状.
- 图像检查证实了大动脉和上层中枢动脉之间的左静脉压缩.
- 文献审查表明NCS和明显的体重减轻之间存在一致的关联.
结论:
- 在SLE患者的显著体重减轻可能会通过改变 retroperitoneal 脂肪和血管结构来导致NCS.
- 临床医生应考虑在SLE患者出现突然体重变化的情况下进行NCS,以促进及时诊断和预防并发症.
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