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先天性角化不良并发致命性双侧气胸:一例报告

Fatal bilateral pneumothoraces complicating dyskeratosis congenita: a case report.

作者信息

Boueiz Adel, Abougergi Marwan S, Noujeim Carlos, Assaf Edmond Bou, Jamaleddine Ghassan

出版信息

J Med Case Rep. 2009 Mar 26;3:6622. doi: 10.1186/1752-1947-3-6622.

Abstract

INTRODUCTION

Dyskeratosis congenita is a rare genodermatosis, characterized by a triad of reticular skin pigmentation, nail dystrophy and leukoplakia of mucous membranes. It is also associated with a variety of non-cutaneous abnormalities such as bone marrow failure, malignancy and pulmonary complications. Among its wide range of clinical manifestations, fatal pneumothorax has rarely been reported.

CASE PRESENTATION

We report the case of a 31-year-old Lebanese woman with dyskeratosis congenita who succumbed to devastating bilateral pneumothoraces.

CONCLUSION

Careful surveillance of patients with dyskeratosis congenita is required as incipient respiratory failure due to pneumothorax may be successfully treated if detected at an early stage.

摘要

引言

先天性角化不良是一种罕见的遗传性皮肤病,其特征为网状皮肤色素沉着、指甲营养不良和黏膜白斑三联征。它还与多种非皮肤异常有关,如骨髓衰竭、恶性肿瘤和肺部并发症。在其广泛的临床表现中,致命性气胸鲜有报道。

病例报告

我们报告一例31岁患有先天性角化不良的黎巴嫩女性患者,该患者死于双侧严重气胸。

结论

由于气胸所致的早期呼吸衰竭若能早期发现可成功治疗,因此需要对先天性角化不良患者进行仔细监测。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4c7/2726487/cf49cafc9831/1752-1947-0003-0000006622-1.jpg

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