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硬皮病累及大血管继发下肢截肢

Lower limb amputation secondary to large vessel involvement in scleroderma.

作者信息

Dorevitch M I, Clemens L E, Webb J B

机构信息

Department of Rheumatology, St Vincent's Hospital, Melbourne, Australia.

出版信息

Br J Rheumatol. 1988 Oct;27(5):403-6. doi: 10.1093/rheumatology/27.5.403.

DOI:10.1093/rheumatology/27.5.403
PMID:3179632
Abstract

A 34-year-old woman with scleroderma was admitted to hospital with pain and weakness of her left foot. She was subsequently shown to have developed a popliteal artery occlusion associated with progressive lower limb ischaemia. This culminated in below-knee amputation. Marked intimal hyperplasia of the large vessels in the leg was noted histologically. An increasing number of cases of large vessel involvement in scleroderma, a disease that primarily affects the microvasculature, has been reported. Scleroderma should be regarded as a rare cause of large vessel peripheral vascular disease.

摘要

一名34岁的硬皮病女性因左脚疼痛和无力入院。随后发现她出现了腘动脉闭塞,并伴有进行性下肢缺血。这最终导致了膝下截肢。组织学检查发现腿部大血管有明显的内膜增生。据报道,硬皮病这种主要影响微血管的疾病,累及大血管的病例越来越多。硬皮病应被视为大血管周围血管疾病的罕见病因。

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Lower limb amputation secondary to large vessel involvement in scleroderma.硬皮病累及大血管继发下肢截肢
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引用本文的文献

1
Characteristics of patients with systemic sclerosis suffering from a lower limb amputation: Results of a French collaborative study.患有下肢截肢的系统性硬化症患者的特征:一项法国合作研究的结果。
J Scleroderma Relat Disord. 2020 Oct;5(3):224-230. doi: 10.1177/2397198320913689. Epub 2020 Apr 27.
2
Distribution of macrovascular disease in scleroderma.硬皮病中宏观血管疾病的分布
Ann Rheum Dis. 1998 Aug;57(8):476-9. doi: 10.1136/ard.57.8.476.
3
Large vessel occlusive disease associated with CREST syndrome and scleroderma.与CREST综合征和硬皮病相关的大血管闭塞性疾病。
Ann Rheum Dis. 1993 Jun;52(6):464-6. doi: 10.1136/ard.52.6.464.