双氯芬酸诱发的血小板减少性紫癜伴肾和肝受累。
Diclofenac-induced thrombocytopenic purpura with renal and hepatic involvement.
作者信息
Bondeson J, Berglund S
机构信息
Department of Medicine, Malmö General Hospital, University of Lund, Sweden.
出版信息
J Intern Med. 1991 Dec;230(6):543-7. doi: 10.1111/j.1365-2796.1991.tb00487.x.
A case of diclofenac-induced thrombocytopenic purpura in a 59-year-old woman is described. Unlike the majority of earlier cases, ours was associated with renal insufficiency and jaundice. Despite the dramatic clinical picture, with severe thrombocytopenia and marked renal insufficiency, the prognosis appears to be excellent, as is shown in our case and in similar ones reported in the literature. A high dose of steroids is the treatment of choice.
本文描述了一例59岁女性因双氯芬酸导致血小板减少性紫癜的病例。与大多数早期病例不同，我们的病例伴有肾功能不全和黄疸。尽管临床表现严重，出现严重血小板减少和明显肾功能不全，但正如我们的病例以及文献中报道的类似病例所示，预后似乎良好。大剂量类固醇是首选治疗方法。
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