Gorin N C, Fraitag B, Feldman A, Vallot T, Couturier J Y, Najman A, Duhamel G
Nouv Presse Med. 1977 Dec 10;6(42):3959-61.
In November 1976, a 52 year old woman presented with a Moschowitz syndrome with clinical manifestations of continuous fever at 39 degrees and a transient Wernicke type aphasia. Laboratory findings included schizocytosis, a peripheral thrombocytopaenia and functional renal insufficiency. The ethanol tests was positive but there was no frank defibrination syndrome. After corticosteroid therapy failed, the patient was treated with Dipyridamole 400 mg/24 hours IV and acetylsalicylic acid 4 g/24 hours IV. Fever disappeared on the same day and the thrombocytopaenia was corrected in 48 hours. The patient was considered to be cured 15 days later. No precise aetiology to explain the Moschowitz syndrome was discovered apart from the recent ingestion of oestrogens. The authors emphasise the considerable progress which this use of a combination of Dipyridamole and aspirin represents, resulting in the cure of Moschowitz syndrome, a condition considered to be fatal up until a few years ago.
1976年11月,一名52岁女性出现Moschowitz综合征,临床表现为持续39度发热及短暂的韦尼克型失语。实验室检查结果包括红细胞碎片、外周血小板减少及功能性肾功能不全。乙醇试验呈阳性,但无明显的纤维蛋白溶解综合征。皮质类固醇治疗失败后,患者接受静脉注射双嘧达莫400mg/24小时及乙酰水杨酸4g/24小时治疗。发热于当日消退,血小板减少在48小时内得到纠正。15天后患者被认为治愈。除近期摄入雌激素外,未发现确切病因来解释Moschowitz综合征。作者强调,双嘧达莫和阿司匹林联合使用取得了显著进展,治愈了Moschowitz综合征,而就在几年前,这种疾病还被认为是致命的。