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皮下颞部脓肿是遗传性出血性毛细血管扩张症(朗杜-奥斯勒-韦伯病)患者肺动静脉畸形的一种临床表现。

Subcutaneous temporal abscess as a clinical manifestation of pulmonary arteriovenous malformations in a patient with hereditary haemorrhagic telangiectasia (Rendu-Osler-Weber disease).

作者信息

Haarmann S, Budihardja A S, Hölzle F, Wolff K D

机构信息

Department of Oral and Maxillofacial-Plastic Surgery, Ruhr University of Bochum, Bochum, Germany.

出版信息

Int J Oral Maxillofac Surg. 2007 Dec;36(12):1211-4. doi: 10.1016/j.ijom.2007.05.020. Epub 2007 Jul 27.

Abstract

This is the report of a rare case of a temporal abscess that developed in the presence of pulmonary arteriovenous malformations in a patient with hereditary haemorrhagic telangiectasia (HHT). Little has been described about abscesses occurring in soft tissues in patients with HHT in previous reports. In the case of a subcutaneous abscess of unknown primary in the head and neck region in patients with HHT, the clinician needs to consider septic microemboli due to pulmonary arteriovenous malformations as a possible cause. The classic dermal manifestation of HHT should be enlarged to include subcutaneous abscess secondary to metastatic septic microembolism.

摘要

这是一例罕见病例的报告,一名患有遗传性出血性毛细血管扩张症(HHT)的患者在存在肺动静脉畸形的情况下发生了颞部脓肿。以往报告中很少描述HHT患者软组织中出现的脓肿情况。对于HHT患者头颈部不明原发部位的皮下脓肿,临床医生需要考虑肺动静脉畸形导致的感染性微栓子是可能的病因。HHT的典型皮肤表现应扩大到包括继发于转移性感染性微栓子的皮下脓肿。

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