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肠系膜上动脉综合征伴发急性 1 型糖尿病合并 Graves 病

Superior Mesenteric Artery Syndrome Accompanied by Acute-onset Type 1 Diabetes Complicated with Graves' Disease.

机构信息

Department of Medicine and Molecular Science, Gunma University Graduate School of Medicine, Japan.

出版信息

Intern Med. 2022 May 15;61(10):1555-1560. doi: 10.2169/internalmedicine.8364-21. Epub 2021 Oct 12.

DOI:10.2169/internalmedicine.8364-21
PMID:34645767
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9177372/
Abstract

A 35-year-old man experienced general fatigue and could not eat solid food because of nausea and vomiting. His weight abruptly decreased from 49 to 45 kg after 2 weeks. A detailed examination indicated superior mesenteric artery syndrome (SMAS) accompanied by acute-onset type 1 diabetes complicated by Graves' disease, referred to as autoimmune polyglandular syndrome type 3A (APS3A). Although SMAS has a good prognosis, some cases require emergency surgery, especially when complicated by gastric perforation. In our case, APS3A and SMAS developed rapidly and at approximately the same time, resulting in a cycle of mutual exacerbation.

摘要

一位 35 岁男性出现全身乏力，且因恶心和呕吐无法进食固体食物。两周后，他的体重从 49 公斤骤降至 45 公斤。详细检查提示肠系膜上动脉综合征（SMAS）伴发急性起病 1 型糖尿病合并 Graves 病，即自身免疫性多腺体综合征 3A 型（APS3A）。虽然 SMAS 预后良好，但部分病例需要紧急手术，特别是当并发胃穿孔时。在我们的病例中，APS3A 和 SMAS 快速发展且几乎同时发生，导致相互加重的恶性循环。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ed6/9177372/54aa495273f6/1349-7235-61-1555-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ed6/9177372/38964bc6932b/1349-7235-61-1555-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ed6/9177372/49200c5ceed1/1349-7235-61-1555-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ed6/9177372/694dfc6e2d34/1349-7235-61-1555-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ed6/9177372/54aa495273f6/1349-7235-61-1555-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ed6/9177372/38964bc6932b/1349-7235-61-1555-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ed6/9177372/49200c5ceed1/1349-7235-61-1555-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ed6/9177372/694dfc6e2d34/1349-7235-61-1555-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ed6/9177372/54aa495273f6/1349-7235-61-1555-g004.jpg

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