[如果不治疗,尿性关节炎会导致糖尿病患者的脚和截肢]
Mie Cecilie Hall Jensen1, Bjarke Risgaard2, Hanne Trap Wolf1
1Gynækologisk-Obstetrisk Afdeling, Københavns Universitetshospital - Amager og Hvidovre Hospital.
Ugeskrift for laeger
|May 14, 2025
概括
这份病例报告强调了一名老年男性的严重痛风病例. 延迟诊断的甲状腺关节炎导致慢性和运动障碍,强调需要及时进行尿酸降低治疗.
科学领域:
- 类风湿病学 类风湿病学
- 腎臟病學 (nephrology) 是一種醫學專業.
- 皮肤病学 皮肤病学
背景情况:
- 严重的多发性痛风性关节炎可能导致慢性并发症.
- 患有糖尿病和功能障碍等并发症的老年患者呈现复杂病例.
- 痛风的延迟诊断和治疗可能会导致严重的发病率.
研究的目的:
- 报告一个严重的,长期存在的甲状腺痛风关节炎病例,诊断方面存在挑战.
- 强调在慢性残留物中识别酸盐晶体的重要性.
- 突出延迟尿酸降低治疗对患者结果的影响.
主要方法:
- 一个88岁的男性病例报告,有20年的痛风病史.
- 临床检查显示了严重的脚形,疼痛和的足部.
- 对足残留物的微观分析证实了尿酸盐晶体的存在.
主要成果:
- 患者患有反复出现的痛风发作和大量的状沉积物.
- 患有慢性足部和严重的运动障碍.
- 通过在残留物中显微镜识别尿酸水晶来确认诊断,尽管事先进行了咨询和成像.
结论:
- 及时诊断和启动尿酸降低疗法,如阿洛普林醇,对于管理多性痛风性关节炎至关重要.
- 对残留物的显微镜检查是痛风的宝贵诊断工具.
- 有效的管理可以预防严重的并发症,改善生活质量.
更多相关视频
04:09Prospective, Randomized, and Controlled Study of a Human Umbilical Cord Mesenchymal Stem Cell Injection for Treating Diabetic Foot Ulcers
Published on: March 3, 2023
2.7K
05:06Author Spotlight: Integrating Tai Chi with Mindfulness Training to Achieve an Effective Mind-Body Exercise
Published on: July 14, 2023
1.5K
相关概念视频
Diabetes: Symptoms, Diagnosis, and Complications
486
For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
486
Peptic Ulcer Disease IV: Management
51
Medical treatment strategies for peptic ulcers encompass various methods. The primary goal of treatment is to diminish gastric acidity and strengthen mucosal defense mechanisms.
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current...
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current...
51
Disorders of the Urinary System
181
The urinary system is responsible for eliminating waste and excess fluids from the body. However, disorders of the urinary system can arise due to various reasons like infections, stress, age, congenital abnormalities, and lifestyle.
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
181
Dipeptidyl Peptidase 4 Inhibitors
136
Dipeptidyl peptidase 4 (DPP-4) is a serine protease widely distributed in the body. It's involved in the inactivation of GLP-1 and GIP hormones, which are crucial for insulin regulation. DPP-4 inhibitors, such as sitagliptin (Januvia), saxagliptin (Onglyza), linagliptin (Tradjenta), alogliptin (Nesina), and vildagliptin (Galvus), help increase the proportion of active GLP-1, enhancing insulin secretion. These inhibitors work by competitively binding to DPP-4. This binding causes a...
136
Diabetes: Management and Pharmacotherapy
213
The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
213
