案例报告:结性脊柱炎复杂化与全身性狼红斑疹
Li-Fang Yan1, Yue-E Zeng1, Yan Xu2
1Department of Rheumatism and Immunology, Qinghai Red Cross Hospital, Xining, China.
International journal of rheumatic diseases
|May 11, 2025
概括
结节性脊柱炎 (AS) 很少发生在连接组织疾病中. 本报告详细介绍了一例罕见的AS和全身性红斑狼 (SLE) 在男性患者中并存的罕见病例.
科学领域:
- 类风湿病学 类风湿病学
- 免疫学 免疫学 免疫学
- 遗传学 是一个遗传学.
背景情况:
- 结节性脊柱炎 (AS) 是一种罕见的疾病,当与结缔组织疾病一起发现时.
- 系统性红斑狼 (SLE) 是一种自身免疫性疾病,可以影响多个器官系统.
- 在临床报告中,AS和SLE的共存是非常罕见的.
研究的目的:
- 报告一种罕见的结性脊髓炎和全身性红斑狼同时存在的罕见病例.
- 为突出患者呈现重叠症状的诊断考虑.
主要方法:
- 一个58岁的男性患者的病例介绍.
- 对患者5年的下脊椎疼痛病史进行审查.
- 免疫学测试的分析,包括抗核抗体,Sm抗体和人类白细胞抗原B27.
主要成果:
- 患者在5年的病史中表现出腰椎下部疼痛.
- 免疫测试对抗核抗体,Sm抗体和人类白细胞抗原B27.7呈阳性.
- 确立了结性脊髓炎和全身性红斑狼同时存在的诊断.
结论:
- 这一案例突显了AS和SLE并发的可能性,尽管这种情况很罕见.
- 强调综合性风湿症状患者的全面诊断工作的重要性.
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