推迟诊断诗歌综合征,人工智能工具如何提高诊断准确度
Max Jin1, Sowbharnika Arivazhagan2, Prerna Mewawalla2
1Medicine Institute, Allegheny General Hospital, Pittsburgh, USA.
European journal of case reports in internal medicine
|July 10, 2025
概括
POEMS综合征是一种罕见的疾病,经常被误诊. 早期识别关键标志物,如外围神经病变和VEGF升高对于及时治疗和改善结果至关重要.
科学领域:
- 罕见疾病是一种罕见的疾病.
- 血液学 血液学 血液学
- 神经学 神经学
背景情况:
- POEMS综合征是一种罕见的多系统性疾病,具有多种表现.
- 它经常被误诊,因为症状与常见疾病重叠.
- 一名76岁的男性出现了胀和疲劳,最初被误诊.
研究的目的:
- 为了突出POEMS综合征的诊断挑战.
- 强调早期识别POEMS综合征标志物的重要性.
- 为了说明内科医生在识别和诊断POEMS综合征中的作用.
主要方法:
- 一个76岁的男性患有POEMS综合征的案例介绍.
- 临床特征的综述,包括周围神经病变,血栓细胞瘤,硬化性骨病变, papilledema 和升高的 VEGF.
- 用达拉图穆马布,莱纳利多米德和甲治疗.
主要成果:
- 诊断的POEMS综合征通过IgG羔羊单克隆蛋白,壮症, papilledema,和高VEGF (10,999 pg/ml) 确认的诊断.
- 患者在治疗4个月后显示出显著的临床改善.
- 在治疗后观察到的VEGF水平减少超过50%.
结论:
- 在患有外围神经病变和单克隆性骨髓病变的患者中应考虑POEMS综合征.
- 认知偏差可以推迟诊断,导致不良结果.
- 人工智能工具和快速VEGF测试可以帮助早期诊断并降低医疗保健成本.
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