在一名患有HIV相关脂肪代谢障碍的女性中，抽脂术成功用于治疗气道阻塞。
The successful use of lipectomy in the management of airway obstruction in a woman with HIV-associated lipodystrophy.
作者信息
Tsui Edison, Bogdasarian Ronald, Blomain Eric
机构信息
The Commonwealth Medical College, Scranton, Pennsylvania, USA.
出版信息
BMJ Case Rep. 2015 Feb 18;2015:bcr2014208053. doi: 10.1136/bcr-2014-208053.
Abstract
Lipodystrophy is a common complication of highly active antiretroviral therapy and is associated with significant comorbidities. Altered fat distribution, particularly lipohypertrophy of the dorsal cervical fat pad is associated with reduced quality of life as well as medical complications. We report the rare case of a patient with airway obstruction secondary to HIV-associated lipodystrophy. Ultrasound-assisted liposuction was successfully performed to relieve her airway obstruction and to facilitate a tracheostomy. To the best of our knowledge, this is the first documented case of its kind. We also provide a brief review of the literature on the current management options for HIV-associated lipodystrophy.
摘要
脂肪代谢障碍是高效抗逆转录病毒治疗的常见并发症，且与显著的合并症相关。脂肪分布改变，尤其是颈后脂肪垫的脂肪增生，与生活质量下降以及医学并发症有关。我们报告了一例罕见的因HIV相关脂肪代谢障碍继发气道梗阻的患者。成功实施了超声辅助吸脂术以缓解其气道梗阻并便于进行气管造口术。据我们所知，这是首例此类有记录的病例。我们还简要回顾了关于HIV相关脂肪代谢障碍当前管理方案的文献。
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