[慢性阴茎溃疡揭示的与硅酮栓塞综合征相关的严重肺泡出血：一例报告]
[Severe alveolar haemorrhage related to a silicone embolism syndrome revealed by a chronic penis ulcer: A case report].
作者信息
Réveillon M, Carré D, Plaquevent M, Alsubaiei F, Midhat M, Alcaix D, Plantier F, Dupin N, Terrier B, Guillevin L, Bravard P
机构信息
Département de médecine interne, CHU de Rouen, 1, rue de Germont, 76031 Rouen cedex, France.
Service de dermatologie, centre hospitalier du Havre, BP 24, 76083 Le Havre cedex, France.
出版信息
Rev Med Interne. 2016 Jul;37(7):489-92. doi: 10.1016/j.revmed.2015.09.011. Epub 2015 Oct 23.
INTRODUCTION
Silicone injections, in particular illegal injections, carried out in an aesthetic purpose, can cause serious complications, like silicone embolism syndrome.
CASE REPORT
We present a 39-year-old man who presented with a severe acute respiratory distress syndrome related to an alveolar hemorrhage associated with a persistent penis ulcer and a genital lymphedema. It was the complications of silicone injections which revealed a severe personality disorder. Diagnosis of silicone embolism syndrome was made, a few years later, thanks to the histopathology study of a persistent penis ulcer with genital lymphedema. The outcome was favorable.
CONCLUSION
A serious alveolar hemorrhage in a young patient should raise suspicion of silicone embolism syndrome, especially if there are cutaneous lesions compatible with injections.
引言
出于美容目的进行的硅胶注射，尤其是非法注射，可导致严重并发症，如硅胶栓塞综合征。
病例报告
我们报告一名39岁男性，他出现了严重的急性呼吸窘迫综合征，与肺泡出血有关，同时伴有持续性阴茎溃疡和生殖器淋巴水肿。正是硅胶注射的并发症揭示了一种严重的人格障碍。几年后，通过对伴有生殖器淋巴水肿的持续性阴茎溃疡进行组织病理学研究，确诊为硅胶栓塞综合征。结果良好。
结论
年轻患者出现严重的肺泡出血应怀疑硅胶栓塞综合征，尤其是存在与注射相符的皮肤病变时。
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