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复发性多软骨炎和骨髓增生异常综合征导致的全聋和失明。

Total hearing loss and blindness caused by relapsing polychondritis and myelodysplastic syndrome.

作者信息

Coha Bozena, Fustar-Preradovic Ljubica, Sekelj Sandra, Sekelj Alen

机构信息

General Hospital Dr. Josip Bencevic, Andrije Stampara 42, 35000, Slavonski Brod, Croatia.

出版信息

Eur Arch Otorhinolaryngol. 2007 Dec;264(12):1517-9. doi: 10.1007/s00405-007-0387-9. Epub 2007 Jul 17.

Abstract

Relapsing polychondritis is an autoimmune disease that primarily manifests as cartilaginous tissue destruction. However, the immune impairment may also involve noncartilaginous tissues such as kidneys, blood vessels, etc. The disease may occur as a primary disorder or in association with other diseases. The case of a female patient with concurrent manifestation of myelodysplastic syndrome-refractory anemia with excess blasts, and relapsing polychondritis, is presented. The diagnosis of relapsing polychondritis was established ten months after the diagnosis of myelodysplastic syndrome, when the criteria for the former were met. Total hearing loss and blindness developed soon thereafter.

摘要

复发性多软骨炎是一种主要表现为软骨组织破坏的自身免疫性疾病。然而,免疫损伤也可能累及非软骨组织,如肾脏、血管等。该疾病可作为原发性疾病出现,也可与其他疾病相关。本文介绍了一例女性患者,同时出现骨髓增生异常综合征-难治性贫血伴原始细胞增多和复发性多软骨炎。复发性多软骨炎的诊断在骨髓增生异常综合征诊断十个月后,当符合前者的诊断标准时得以确立。此后不久出现了全聋和失明。

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