胸腔溢液是Sjögren病的一个罕见表现
Melis Mutlu1, Fatih Albayrak2, Zeynel Abidin Sayiner3
1Department of Internal Medicine, Hacettepe University Faculty of Medicine, Ankara, Ankara, Turkey.
BMJ case reports
|September 25, 2025
概括
这就是Sjögren.
科学领域:
- 类风湿病学 类风湿病学
- 肺部病理学 肺部病理学
- 自免疫性疾病 自免疫性疾病
背景情况:
- 肖格伦病 (SD) 是一种全身性自身免疫性疾病.
- 它主要影响外分泌腺,导致眼睛和口腔干燥.
- 外腺体表现,包括肺部问题,可能会发生.
研究的目的:
- 报告一例罕见的在初级Sjögren综合征中发生的肺溢液.
- 要突出考虑在不明原因的多叶膜溢出中自身免疫性疾病的重要性.
主要方法:
- 一个40多岁的男性患者的病例报告.
- 评估包括实验室测试,成像和自身免疫标记物.
- 通过阳性抗SSA (Ro) 和希尔默测试证实了初级Sjögren综合征 (pSS) 的诊断.
主要成果:
- 患者呈现出排泄性多流和多性胸部疼痛.
- 感染原因,结核病和恶性瘤被排除在外.
- 诊断为pSS,并确定多发性溢出是罕见的表现.
结论:
- 胸腔溢液是一种不常见的,但可能是原发性Sjögren综合征的肺部表现.
- 系统性自身免疫性疾病应考虑在无法解释的多发性溢液的差异诊断中.
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