造乳房植入物是发烧的隐藏原因:一个诊断陷
Kotaro Kunitomo1, Fumitaka Yoshimura1, Junko Kubosaki1
1General Medicine, National Hospital Organization Kumamoto Medical Center, Kumamoto, JPN.
Cureus
|September 2, 2025
概括
一名患有无法解释的发烧和CRP升高的妇女被诊断为辅助剂诱导的自身免疫/炎症综合征 (ASIA). 在切除乳房植入物后症状消失,强调在全身炎症病例中考虑ASIA的重要性.
科学领域:
- 免疫学
- 放射学
- 关节病学
背景情况:
- 由辅助剂诱导的自身免疫/炎症综合征 (ASIA) 是一种罕见的疾病,由等辅助剂引发.
- 诊断可能很困难, 尤其是没有植入部位的局部症状.
研究的目的:
- 调查持续无法解释的全身炎症的原因.
- 评估乳房植入物在患者症状中的作用.
- 突出MRI在疑似由辅助剂诱导的自身免疫/炎症综合征 (ASIA) 的诊断实用性.
主要方法:
- 乳房植入物的磁共振成像 (MRI).
- 临床评估包括体检和症状评估.
- 通过手术切除双边乳房植入物
主要成果:
- 磁力共振显示左乳房植入物发生裂.
- 患者符合ASIA的诊断标准 (暴露,全身症状,移植后症状消失).
- 两侧植入物被移除后症状完全消失.
结论:
- 由辅助剂诱导的自身免疫/ 炎症综合征 (ASIA) 是植入物患者中无法解释的全身炎症的潜在原因.
- 在没有局部植入部位症状的情况下, 诊断ASIA可能是具有挑战性的.
- 核磁共振对于识别植入物破裂和指导ASIA诊断和治疗至关重要.
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