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[一例与心肌梗死相关的成人混合性结缔组织病病例]

[An adult case of mixed connective tissue disease associated with myocardial infarction].

作者信息

Kato N, Kaneko F, Tomizawa K, Tsukinaga I, Takei H, Okita K, Ohkawara A

出版信息

Nihon Hifuka Gakkai Zasshi. 1989 Jan;99(1):59-66.

PMID:2746962
Abstract

A 36-year-old Japanese woman with mixed connective tissue disease (MCTD) was treated with systemic Vitamin E and developed sudden myocardial infarction. The diagnosis of MCTD was based on clinical and serological findings. Since she developed pericarditis with high fever on the occasion of the attack of myocardial infarction, she was treated with systemic corticosteroid and recovered well. Although MCTD had been recognized as a disease with good response to corticosteroid and good prognosis, some cases suffer from interstitial pneumonia, pulmonary hypertension and myocardial infarction with poor prognosis.

摘要

一名36岁患有混合性结缔组织病(MCTD)的日本女性接受了全身性维生素E治疗,随后突发心肌梗死。MCTD的诊断基于临床和血清学检查结果。由于她在心肌梗死发作时出现了伴有高热的心包炎,因此接受了全身性皮质类固醇治疗,恢复良好。尽管MCTD被认为是一种对皮质类固醇反应良好且预后较好的疾病,但仍有一些病例会出现间质性肺炎、肺动脉高压和心肌梗死,预后较差。

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