结性脊柱炎患者的复发性心周炎:一个罕见病例报告
Constantin Sitari1, Nicolae Sitari2, Isabel Rodrigues1
1Department of Internal Medicine, Unidade Local de Saúde do Algarve - Hospital de Faro, Faro, PRT.
Cureus
|December 8, 2025
概括
结节性脊柱炎 (AS) 很少导致心脏问题,如心周炎. 这一案例突出了一个患有复发性心膜炎的患者,强调需要将AS视为受影响个体胸痛的潜在原因.
科学领域:
- 类风湿病学 类风湿病学
- 心脏病学 心脏病学
- 内部医学 内部医学
背景情况:
- 脊髓炎 (AS) 是一种慢性炎症性疾病,主要影响脊椎.
- 心脏并发症在AS患者中不常见,心周炎症特别罕见.
- 了解AS表现的范围对于及时诊断和管理至关重要.
研究的目的:
- 在患有结性脊柱炎的患者中报告一种罕见的复发性急性心膜炎病例.
- 讨论AS和心膜炎之间的潜在联系,特别是在治疗改变后.
- 强调在患有胸痛的患者中考虑与AS相关的炎症的重要性.
主要方法:
- 一个31岁的人类白细胞抗原B27 (HLA-B27) 阳性男性AS病例报告.
- 详细的临床表现包括症状,心电图 (ECG),胸部计算机断层扫描 (CT) 和胸前心电图 (TTE).
- 排除心周炎的传染性,自身免疫性和恶性病因.
主要成果:
- 患者经历了两次急性心膜炎的发作,在停止治疗golimumab后.
- 诊断检查显示,心周和胸腔的液与多色素炎一致.
- 感染性和其他自身免疫性原因被排除在外,支持AS作为可能的病因.
结论:
- 心炎,虽然不常见,但应考虑在结性脊柱炎患者出现胸痛.
- 在AS患者中,心膜炎的治疗应与控制潜在的全身炎症保持一致.
- 这一案例凸显了复杂的风湿病例中全面诊断方法的重要性.
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