Hitoshi S, Ito Y, Takehara K, Fujita T, Ogata E
Fourth Department of Internal Medicine, Faculty of Medicine, University of Tokyo, Japan.
Jpn J Med. 1991 Jan-Feb;30(1):97-100. doi: 10.2169/internalmedicine1962.30.97.
A 44-year-old woman with scleroderma-like skin lesions and malignant hypertension following mammoplasty is reported. Sclerotic change is an unusual finding for ordinary finding progressive systemic sclerosis. On admission, she had severe high-renin hypertension and progressive renal failure, suggesting scleroderma renal crisis. With intensive treatment for hypertension including angiotensin-converting enzyme inhibitor, the blood pressure was well controlled. It was then suggested that she had malignant hypertension due to scleroderma after silicone injection, or the so-called human adjuvant disease after cosmetic surgery.
报道了一名44岁女性，在乳房成形术后出现硬皮病样皮肤病变和恶性高血压。硬化性改变在普通进行性系统性硬化症中是不寻常的发现。入院时，她患有严重的高肾素性高血压和进行性肾衰竭，提示硬皮病肾危象。通过包括血管紧张素转换酶抑制剂在内的强化高血压治疗，血压得到了良好控制。随后提示她在注射硅胶后因硬皮病导致恶性高血压，即所谓的整容手术后人类佐剂病。
