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以急性髓系白血病为表现的主动脉炎——病例报告

Aortitis presenting as acute myeloid leukemia - A case report.

作者信息

Ireifej Branden, Freijat Majd, Song David, Shah Nagma, Mukherjee Dattatreya, Jaiswal Vikash

机构信息

Icahn School of Medicine at Mount Sinai - Elmhurst Hospital Center, New York, USA.

Flow Rheumatology, Scottsdale, AZ, USA.

出版信息

Ann Med Surg (Lond). 2022 Jul 31;80:104255. doi: 10.1016/j.amsu.2022.104255. eCollection 2022 Aug.

DOI:10.1016/j.amsu.2022.104255
PMID:36045831
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9422307/
Abstract

INTRODUCTION

Aortitis can be an initial presentation of many diseases, but most often include large cell vasculitis.

CASE PRESENTATION

We present a case of a 53 year old female who presented with a myriad of symptoms including abdominal pain, nausea, fever, and headaches. CT scan of the chest showed an inflamed aorta with an initial concern for a large cell vasculitis, but found later to be from her underlying acute myeloid leukemia (AML).

DISCUSSION/CONCLUSION: Our case emphasizes the importance of aortitis being the initial presentation of a multitude of diseases including malignancy. It remains important, especially for rheumatologists, to consider blood cancers when presented with aortitis.

BACKGROUND/INTRODUCTION: Aortitis can be an initial presentation of many diseases, but most often include large cell vasculitis. We describe a case of aoritis being the initial presentation of AML.

METHODS

SCARE 2020 Guidelines.

摘要

引言

主动脉炎可能是多种疾病的首发表现,但最常见的包括大细胞血管炎。

病例报告

我们报告一例53岁女性,她出现了多种症状,包括腹痛、恶心、发热和头痛。胸部CT扫描显示主动脉发炎,最初怀疑是大细胞血管炎,但后来发现是由其潜在的急性髓系白血病(AML)引起的。

讨论/结论:我们的病例强调了主动脉炎作为包括恶性肿瘤在内的多种疾病首发表现的重要性。当出现主动脉炎时,尤其是对风湿病学家来说,考虑血液系统癌症仍然很重要。

背景/引言:主动脉炎可能是多种疾病的首发表现,但最常见的包括大细胞血管炎。我们描述了一例主动脉炎作为AML首发表现的病例。

方法

采用SCARE 2020指南。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f564/9422307/8a8928b722ea/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f564/9422307/8a8928b722ea/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f564/9422307/8a8928b722ea/gr1.jpg

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本文引用的文献

1
The SCARE 2020 Guideline: Updating Consensus Surgical CAse REport (SCARE) Guidelines.SCARE 2020 指南:更新共识手术病例报告(SCARE)指南。
Int J Surg. 2020 Dec;84:226-230. doi: 10.1016/j.ijsu.2020.10.034. Epub 2020 Nov 9.
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Aortitis in the setting of catastrophic antiphospholipid syndrome in a patient with systemic lupus erythematosus.系统性红斑狼疮合并灾难性抗磷脂综合征患者的主动脉炎。
Lupus. 2020 Aug;29(9):1126-1129. doi: 10.1177/0961203320931173. Epub 2020 Jun 9.
3
A Rare Case of Paraneoplastic Aortitis Associated with Chronic Myelomonocytic Leukemia.
一例与慢性粒单核细胞白血病相关的副肿瘤性主动脉炎罕见病例。
Case Rep Hematol. 2017;2017:3091973. doi: 10.1155/2017/3091973. Epub 2017 May 25.
4
International consensus statement on an update of the classification criteria for definite antiphospholipid syndrome (APS).关于明确抗磷脂综合征(APS)分类标准更新的国际共识声明。
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