在患有全身性硬化症的患者中模仿大西洋轴感染的冠冕丹斯综合征:一个病例报告
Tarun Selvarajan1, Lavanya Kannekanti1, Shravya Balmuri2
1Department of Internal Medicine, Louisiana State University, Shreveport, Louisiana, USA, lsu.edu.
Case reports in rheumatology
|February 25, 2026
概括
冠状洞综合征 (CDS) 模仿感染,但是由晶体沉积引起的. 及时诊断和抗炎治疗迅速解决严重的部疼痛和头痛,避免了类风湿病患者的错误诊断.
科学领域:
- 类风湿病学 类风湿病学
- 神经学 神经学
- 放射学 放射学是一门学科.
背景情况:
- 冠状洞综合征 (CDS) 涉及到围绕形过程的晶体沉积,导致严重的部疼痛和头痛.
- CDS可以模仿诸如性关节炎或骨质炎等感染,以及诸如巨细胞动脉炎等炎症性疾病.
- 它经常被忽视,特别是在免疫功能低下的患者或具有结缔组织疾病的患者中.
研究的目的:
- 突出CDS的诊断挑战,特别是当在患有系统性硬化症的患者身上出现时.
- 强调在关节病患者急性部疼痛和头痛的差异诊断中考虑CDS的重要性.
- 为了说明迅速诊断和治疗CDS的有效性.
主要方法:
- 一个55岁的男性患有扩散性皮肤全身性硬化症,出现严重头痛和部疼痛的病例报告.
- 最初的治疗包括基于MRI发现的基于感染的广谱抗生素.
- 诊断得到了CT证实,CT显示了CDS的特征,即形过程周围的化.
主要成果:
- 尽管接受了抗生素治疗,但患者的症状仍然存在,这表明非传染性原因.
- 电脑图像扫描显示了牙形过程周围的化,导致怀疑CDS.
- 用素和普得尼松治疗导致在一周内几乎完全缓解疼痛.
结论:
- 在患有严重部疼痛和头痛的患者中,CDS应该是关键考虑因素,特别是当部炎症和结存在时.
- 在CDS中MRI发现可以模仿感染,需要仔细解释,经常需要CT确认.
- 早期识别和抗炎治疗CDS至关重要,以防止误诊,并允许安全继续免疫抑制疗法.
相关概念视频
01:19Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations
507
The pathophysiology of Acute Coronary Syndrome [ACD] involves several key processes:The main underlying cause of ACD is atherosclerosis, a chronic inflammatory disease characterized by the buildup of lipid-laden plaques within the coronary arteries.As the atherosclerotic plaque grows in the coronary artery, it may become unstable due to the formation of a lipid-rich core and a thin fibrous cap. Inflammatory cells within the plaque, such as macrophages, secrete enzymes that degrade the...
507
01:30Acute Coronary Syndrome III: Diagnostic Studies
325
Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
325