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脊椎关节炎的多学科管理,以膀参与为最初的临床症状:一个罕见的病例报告
Lingmin Song1, Shengdong Li2, Jingjing Yu3
1Department of Urologic Surgery, Ningbo Yinzhou No. 2 Hospital, 998 Qianhe Road, Yinzhou, Ningbo, Zhejiang, 315000, P.R. China. dukular@163.com.
BMC urology
|April 28, 2025
概括
脊椎关节炎 (SpA) 可以呈现出尿路症状. 这个病例显示了通过膀炎症诊断的SpA,成功地用NSAID和TNF抑制剂治疗,解决了耐火性下泌尿道症状 (LUTS).
科学领域:
- 类风湿病学 类风湿病学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 炎症性疾病 炎症性疾病
背景情况:
- 脊椎关节炎 (SpA) 是一组具有多种关节外表现的炎症性类风湿性疾病.
- 膀参与作为SpA的主要表现是罕见的,以前没有报告过.
研究的目的:
- 报告一种独特的脊椎关节炎 (SpA) 病例,主要表现为尿道症状.
- 强调在耐火性下泌尿道症状 (LUTS) 中考虑全身炎症的重要性.
主要方法:
- 一个55岁的男性病例报告,有20年的慢性下腹痛和LUTS病史.
- 诊断工作包括成像,HLA-B27测试和膀组织组织病理学.
- 治疗包括非类固醇抗炎药物 (NSAID) 和TNF抑制剂.
主要成果:
- 根据膀炎症,关节变化和阳性HLA-B27的结果,该患者被诊断出SPA,尽管缺乏典型的肌肉骨症状.
- 用NSAID和TNF抑制剂治疗导致尿道症状完全消失,膀形态正常化.
- 症状缓解在1年的随访期内持续存在.
结论:
- 脊髓炎主要表现为泌尿器科症状,需要考虑耐火性LUTS的全身炎症疾病.
- 成功的诊断和管理突出了泌尿病学和风湿病学之间的跨学科合作的价值.
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