一个奇怪的腹痛病例,重置了奥斯莫斯塔和拉布多米解
Somarajan Anandan1, Simi Soman2, Jyothish P Kumar3
1Neurologist, Department of Neurology, St Joseph's Mission Hospital, Anchal, Kerala, India, Corresponding Author.
The Journal of the Association of Physicians of India
|November 26, 2025
概括
急性间歇性 (AIP) 是一种罕见的神经关性疾病. 这一案例突出显示了不寻常的AIP表现,包括狂犬病和低血症,强调需要高度的临床怀疑.
科学领域:
- 内部医学 内部医学
- 神经学 神经学
- 遗传学 是一个遗传学.
背景情况:
- 急性间歇性 (AIP) 是一种罕见的神经瘤性疾病.
- 临床表现往往是非特异性的,且高度可变的.
- AIP诊断需要高度的怀疑指数.
研究的目的:
- 描述一个男性患者的AIP病例.
- 要突出AIP的不寻常的临床和生化特征.
- 强调AIP的诊断考虑.
主要方法:
- 案例报告. 情况报告.
- 临床表现分析.
- 生物化学和实验室数据的审查.
主要成果:
- 患者出现腹部疼痛,和低血症.
- 不寻常的发现包括狂犬病溶解,低血症由于重置奥斯莫斯塔特,胰腺和肝酶升高,轻度功能障碍和可逆生物化学甲状腺功能障碍.
- 这些特征通常与AIP无关.
结论:
- 在患有腹部疼痛和发作的患者中,特别是在低血症患者中,应该怀疑AIP.
- AIP表现的变化需要广泛的差异诊断.
- 这个案例扩大了已知的AIP介绍的范围.
相关概念视频
Acute Pancreatitis II: Clinical Manifestations and Management
711
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
711
Drugs for Treatment of Diarrhea-Predominant IBS
604
Diarrhea-predominant irritable bowel syndrome (IBS-D) is a subtype of IBS characterized primarily by frequent, loose, or watery stools, abdominal pain, and abdominal discomfort. Therapeutic approaches to managing IBS-D include dietary changes, stress management techniques, and pharmaceutical interventions.
Two specific drugs used in the treatment are alosetron (Lotronex) and eluxadoline (Viberzi). Alosetron, a 5-HT3 antagonist, works by slowing the movement of stools in the gut, reducing bowel...
Two specific drugs used in the treatment are alosetron (Lotronex) and eluxadoline (Viberzi). Alosetron, a 5-HT3 antagonist, works by slowing the movement of stools in the gut, reducing bowel...
604
Chronic Pancreatitis I: Introduction
650
The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
650
Acute Pancreatitis I: Introduction
1.1K
Pancreatitis is inflammation of the pancreas, an organ located behind the stomach. It can be either acute or chronic.
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
1.1K
Nephrotic Syndrome I : Introduction
476
Nephrotic Syndrome is a chronic kidney disorder defined by clinical findings such as severe proteinuria, hypoalbuminemia, hyperlipidemia, and edema. These symptoms result from damage to the glomeruli, the kidney’s filtering units, increasing their permeability to proteins.Definition and Meaning:Proteinuria, defined as the loss of more than 3.5 grams of protein per day in adults, is a crucial feature of nephrotic syndrome. This condition is often accompanied by edema, the accumulation of...
476
Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations
354
Renal calculi, commonly termed kidney stones, are crystalline solid masses that form in the kidneys but can occur at any point within the urinary system, encompassing the kidneys, ureters, bladder, and urethra.The pathophysiology of renal stones involves several key factors: supersaturation of the urine with stone-forming constituents, changes in urine pH, a decrease in urine volume, and the presence of substances that promote or inhibit stone formation.Supersaturation of Urine: This is the...
354


