儿童期起病的结节性多动脉炎自发性双侧肾周和脾血肿。
Spontaneous bilateral perirenal and splenic haematoma in childhood onset polyarteritis nodosa.
作者信息
Shumy Farzana, Anam Ahmad Mursel, Chowdhury Md Abdul Jalil
机构信息
Department of Internal Medicine, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh.
Intensive Care Unit, Square Hospitals Ltd, Dhaka, Bangladesh.
出版信息
BMJ Case Rep. 2018 Jun 27;2018:bcr-2018-225762. doi: 10.1136/bcr-2018-225762.
Abstract
Spontaneous bilateral perirenal haematoma, as well as splenic haematoma, are rare occasions in polyarteritis nodosa (PAN). We report a case of a young man, who suffered from various typical and atypical manifestations of PAN since childhood. The diagnosis was delayed due to symptoms mimicking with other clinical conditions. Finally, the diagnosis was confirmed when presented with perirenal and splenic haematoma and was managed successfully.
摘要
自发性双侧肾周血肿以及脾血肿在结节性多动脉炎（PAN）中较为罕见。我们报告一例年轻男性病例，该患者自童年起就患有PAN的各种典型和非典型表现。由于症状与其他临床情况相似，诊断被延误。最终，当出现肾周和脾血肿时确诊，并得到成功治疗。
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