在COVID-19后感染老年人中的哈勒金综合症:一个病例报告
Yuda Turana1,2, Robert Shen1,3, Octavianus Darmawan1,2
1Atma Jaya Neuroscience and Cognitive Center (ANCC), School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia, North Jakarta, Jakarta, Indonesia.
Acta neurologica Taiwanica
|July 6, 2025
概括
哈雷金综合征 (HS) 是一种罕见的自主性疾病,可由COVID-19后感染引发. 这一案例凸显了COVID-19持续炎症和HS发展之间的潜在联系.
科学领域:
- 神经学 神经学
- 自主神经系统障碍 自主神经系统障碍
- 传染性疾病 传染性疾病
背景情况:
- 哈勒金综合征 (HS) 是一种罕见的自主性疾病,影响面部血管运动和运动功能.
- 由于感染后的免疫反应引起的微血管缺血是一种拟议的HS病理生理学.
- COVID-19和HS之间的联系需要进一步调查.
研究的目的:
- 在印度尼西亚报告哈雷金综合征的第一例病例.
- 探索COVID-19后感染在HS发展中的潜在作用.
- 在长期COVID的背景下阐明HS的病理生理路径.
主要方法:
- 一个82岁的男性在COVID-19后患有HS的病例报告.
- 临床检查和实验室测试,包括D-二分体水平.
- 对HS和COVID-19后并发症的现有文献的审查.
主要成果:
- 患者出现了与HS一致的复发性单边面部红色.
- 升高的D-二聚物水平表明正在进行的炎症和血栓栓塞的风险.
- 患者的病史包括高胆固醇血症和先前的内风.
结论:
- 后COVID-19感染是哈雷金综合征的可能原因.
- 由于COVID-19引起的持续性炎症可能会对交感纤维产生调节障碍.
- 需要进一步的研究来了解COVID-19后的HS特异性病理生理路径.
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