类似的手作为一种不寻常的风湿性疾病的表现
Catarina Rua1, Regina Cardoso1, Tiago Beirão1
1ULS Gaia e Espinho.
本案例报告详细介绍了一例极为罕见的关节融合病例,该病例是由具有挑战性的社会环境的患者的侵袭性甲状腺痛风引起的. 这种严重的病情导致了严重的骨损伤,最终导致了患者的死亡.
科学领域:
- 类风湿病学 类风湿病学
- 整形外科 整形外科 整形外科
- 内部医学 内部医学
背景情况:
- 甲状腺炎可能导致严重的软组织,关节和骨破坏.
- 积极的托菲会导致严重的发病率和功能障碍.
研究的目的:
- 报告一个极其罕见的关节融合病例,原因是未经治疗的侵袭性多发性痛风.
- 突出挑战性的社会环境对疾病管理和结果的影响.
主要方法:
- 一个68岁的男性患有严重的质痛风的案例介绍.
- 进行了临床检查,实验室测试 (包括肌素,BUN,CRP) 和放射性成像 (X射线).
- 患者接受了伤口护理,抗生素,皮质类固醇和尿酸降低疗法.
主要成果:
- 患者呈现出强烈的疼痛,关节破坏,数字间空间的融合,以及巨大的托菲斯.
- 实验室发现显示了贫血,白细胞瘤,肌素,BUN和CRP的升高.
- 尽管初始治疗,患者的病情恶化,导致衰退和死亡.
结论:
- 这一案例突出了合关节痛风的极端表现,由恶劣的社会条件加剧.
- 涉及医疗保健专业人员,社会工作者和心理健康专家的多学科方法对于管理复杂案件至关重要.
更多相关视频
05:18Author Spotlight: Ultrasound-Guided Needle Release Combined with Corticosteroid Injection for the Treatment of Supinator Syndrome
Published on: May 26, 2023
10:27Recognition of Epidermal Transglutaminase by IgA and Tissue Transglutaminase 2 Antibodies in a Rare Case of Rhesus Dermatitis
Published on: December 15, 2011
相关概念视频
Bones of the Upper Limb: Radius
The radius has a nail-shaped head, and a...
Muscles of the Forearm that Move the Hand and Fingers
Anterior Compartment
The anterior compartment muscles originate from the humerus. They primarily function as flexors and are also known as flexor muscles. They typically insert on the carpals, metacarpals, and phalanges. The superficial layer includes the flexor carpi...
Assessment of the Cardiovascular System III: Palpation
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
Bones of the Upper Limb: Ulna
Assessment of the Cardiovascular System II: Inspection
Head and Neck
Cardiovascular System Abnormal Findings I: Inspection and Palpation
Abnormal findings observed during an inspection
