肾周和肾包膜下血肿作为结节性多动脉炎的首发症状。
Perirenal and renal subcapsular haematoma as presenting symptoms of polyarteritis nodosa.
作者信息
Schlesinger M, Oren S, Fano M, Viskoper J R
机构信息
Department of Immunology, Barzilai Medical Center, Ashkelon, Israel.
出版信息
Postgrad Med J. 1989 Sep;65(767):681-3. doi: 10.1136/pgmj.65.767.681.
Two young men, were hospitalized due to acute massive blood loss with left abdominal flank pain. In both cases renal angiography showed signs of a haemorrhagic event in the left kidney, perirenal in one and subcapsular in the other. Microaneurysms indicated a diagnosis of polyarteritis nodosa, supported by renal biopsy in one case. Renal haemorrhage is an infrequent presentation of polyarteritis nodosa. Furthermore, one patient suffered also from familial Mediterranean fever, and is the fifth reported case with this combination of diseases.
两名年轻男性因急性大量失血伴左腹侧疼痛入院。两例患者肾血管造影均显示左肾有出血迹象，一例为肾周出血，另一例为肾包膜下出血。微动脉瘤提示结节性多动脉炎诊断，其中一例经肾活检确诊。肾出血是结节性多动脉炎的罕见表现。此外，一名患者还患有家族性地中海热，是第五例报告的患有这两种疾病组合的病例。
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