Vidal E, Michel J P, Mouveroux F, Charmes J P, Leroux-Robert C, Liozon F
Sem Hop. 1979;55(31-32):1439-41.
After a minor abdominal traumatism, M. B., 53 years of age, presents a sudden and acute edematous syndrome. Cardiac, renal, hepatic, nutritional and thyroid etiologies ares rapidly eliminated. A cavography and lymphography reveal the integrity of the drainage pathways. The idiopatic cyclic edematous syndrome is therefore evoked by few clinical details (diurnal weight gain, diurnal oliguria...). Exploration of the renin - angiotensin - aldosterone system, the Landis test and the marked radioactive serum albumin test attest to the exaggeration of capillary permeability. Likewise, it was discovered in this patient, a Klinefelter syndrome which was, until now, unknown. This case poses interesting pathogenic problems since the idiopathic cyclic edematous syndrome is a predominantly feminine disease. Only a few cases were described in the masculine sex and, to our knowledge, this syndrome has never been associated with Klinefelter syndrome.
53岁的M.B.在经历轻微腹部创伤后,出现了突发的急性水肿综合征。心脏、肾脏、肝脏、营养及甲状腺方面的病因很快被排除。腔静脉造影和淋巴管造影显示引流途径完整。因此,根据一些临床细节(日间体重增加、日间少尿……)推测为特发性周期性水肿综合征。对肾素 - 血管紧张素 - 醛固酮系统的检查、兰迪斯试验及显著放射性血清白蛋白试验均证实毛细血管通透性增加。同样,在该患者中还发现了一种此前未知的克兰费尔特综合征。该病例引发了有趣的致病问题,因为特发性周期性水肿综合征主要是女性疾病。男性中仅有少数病例被描述过,据我们所知,该综合征从未与克兰费尔特综合征相关联。