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[红斑性肢痛症与1型糖尿病:诊断与管理问题。病例报告]

[Erythermalgia and type 1 diabetes: diagnosis and management issues. A case report].

作者信息

Deghima S, Chabane W, Djorane H, Azzouz M, Hannachi R, Boudiba A

出版信息

Rev Med Brux. 2015 Mar-Apr;36(2):101-4.

Abstract

Erythermalgia is a very rare acrosyndrome mainly characterized by lower limbs pain. It is either primitive or secondary. Concomittence of erythermalgia and diabetes is a coincidence and since the latter induces neuropathic and vascular lesions, erythermalgia is then considered as a consequence. We report the case of a young type 1 diabetic patient who presents with severe form of erythermalgia. Through this case report and a review of the literature, we shall explain the etiopathogenic mecanisms involved in erythermalgia in a diabetic patient and highlight the diagnosis and management challenges.

摘要

红斑性肢痛症是一种非常罕见的肢端综合征,主要特征为下肢疼痛。它可为原发性或继发性。红斑性肢痛症与糖尿病同时出现是一种巧合,由于后者会引发神经病变和血管病变,因此红斑性肢痛症被视为其后果。我们报告了一例患有严重形式红斑性肢痛症的1型糖尿病年轻患者。通过本病例报告及文献回顾,我们将解释糖尿病患者红斑性肢痛症的发病机制,并强调诊断和管理方面的挑战。

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