疼痛性糖尿病神经病变复杂的二次红色红斑症在多细胞真血症:一个病例报告
Hong Zhang1, Zhengran Qin1, Xiaohong Feng1
1Department of Endocrinology and Metabolism, The First Affiliated Hospital of Zhejiang Chinese Medical University, China.
The Journal of international medical research
|October 1, 2025
概括
一名患有2型糖尿病和疼痛性神经病变的患者被发现患有二次性多细胞血症后的红色红斑症. 针对这两种疾病的治疗导致了持续的症状缓解.
科学领域:
- 血液学 血液学 血液学
- 神经学 神经学
- 在瘤学瘤学.
背景情况:
- 糖尿病外围神经病变是2型糖尿病的常见并发症.
- 耐火性神经病痛需要彻底调查二次原因.
- 红色肌痛可能是髓增殖性瘤的罕见表现.
研究的目的:
- 报告一种二次性为多细胞血病导致的红色红斑症的病例,呈现为耐火性神经病痛.
- 突出确定糖尿病神经病变中疼痛的次要原因的重要性.
主要方法:
- 一个62岁的女性患有2型糖尿病和持续的神经病痛的病例报告.
- 诊断工作包括骨髓活检和JAK2 V617F突变分析.
- 治疗涉及使用普雷加巴林,阿司匹林和干扰素α的多学科方法.
主要成果:
- 诊断出多细胞血病与二次性红色红斑症.
- 多学科治疗导致显著的症状缓解和血液学参数的改善.
- 在2年的随访期间观察到持续的症状缓解.
结论:
- 识别二次疼痛病因对于管理耐火性神经病痛至关重要.
- 在患有无法解释的红色红斑症和神经病痛的患者中,应考虑多细胞血病.
- 多学科的方法可以有效地管理复杂的疼痛综合征.
相关概念视频
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
363
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
363
Disorders of Erythrocytes
2.0K
Disorders of erythrocytes, or red blood cells (RBCs), include a range of conditions affecting their number, shape, or function.
Erythrocyte disorders can be broadly categorized into two main types: anemic and polycythemic conditions.
A low oxygen-carrying capacity of the blood due to the loss, lower production, or destruction of erythrocytes is termed anemia. Hemorrhagic anemia, for example, occurs when bleeding from an external wound or internal ulcer reduces erythrocyte counts.
On the other...
Erythrocyte disorders can be broadly categorized into two main types: anemic and polycythemic conditions.
A low oxygen-carrying capacity of the blood due to the loss, lower production, or destruction of erythrocytes is termed anemia. Hemorrhagic anemia, for example, occurs when bleeding from an external wound or internal ulcer reduces erythrocyte counts.
On the other...
2.0K
Peripheral Artery Disease IV: Nursing Management
350
The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
350
Peripheral Artery Disease I: Introduction
314
Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs, particularly the arteries supplying the thighs and calves. In rare cases, it may involve other arteries, including those in the arms.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty...
314
Peripheral Artery Disease V: Postoperative Nursing Management
378
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
378
Peripheral Artery Disease III: Interprofessional Care
245
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
245


