Metz-Kurschel U, Wehr M
Medizinische Klinik und Poliklinik, Universität Essen.
Dtsch Med Wochenschr. 1989 Feb 3;114(5):181-3. doi: 10.1055/s-2008-1066573.
Raised erythrocyte sedimentation rate, mild proteinuria, erythrocyturia and slightly impaired renal function were revealed in a 45-year-old patient complaining of general physical fatigue, fever and pain in the right flank. Interstitial nephritis was confirmed by biopsy. Therefore, an autoimmune disease with renal involvement was diagnosed. Three years later a myxoma of the left atrium was found. After surgical removal of the myxoma the signs of the systemic disease receded and disappeared unexpectedly. At follow-up after 10 years the patient was completely free of symptoms. It is concluded that the signs of the autoimmune disease had been caused by the myxoma.
一名45岁患者自述全身乏力、发热及右侧胁腹疼痛,检查发现红细胞沉降率升高、轻度蛋白尿、红细胞尿及肾功能轻度受损。活检确诊为间质性肾炎。因此,诊断为累及肾脏的自身免疫性疾病。三年后发现左心房黏液瘤。手术切除黏液瘤后,全身性疾病的体征意外消退并消失。随访10年后,患者完全无症状。结论是自身免疫性疾病的体征由黏液瘤引起。