Department of Hematology, Sapporo Kiyota Hospital, Japan.
Department of Internal Medicine, Sapporo Kiyota Hospital, Japan.
Intern Med. 2023 Jun 1;62(11):1675-1681. doi: 10.2169/internalmedicine.0267-22. Epub 2022 Sep 6.
TAFRO syndrome, a rare systemic inflammatory disorder, commonly develops in an acute or subacute manner, with an aggressive clinical behavior. A substantial number of cases of TAFRO syndrome presenting with abdominal pain, and adrenal abnormalities on imaging have also been reported. A 54-year-old man developed severe acute abdominal pain. Bilateral adrenal swelling was detected on computed tomography. Although the abdominal pain resolved spontaneously, a fever and anasarca were observed. The patient was eventually diagnosed with TAFRO syndrome, and corticosteroid administration resulted in remission. TAFRO syndrome should be included in the differential diagnosis of acute abdomen and adrenal abnormalities.
TAFRO 综合征是一种罕见的系统性炎症性疾病，通常以急性或亚急性方式发病，具有侵袭性的临床行为。大量 TAFRO 综合征病例表现为腹痛和影像学上的肾上腺异常。一位 54 岁男性出现严重的急性腹痛。计算机断层扫描发现双侧肾上腺肿胀。尽管腹痛自行缓解，但出现发热和水肿。最终该患者被诊断为 TAFRO 综合征，给予皮质类固醇治疗后缓解。TAFRO 综合征应纳入急性腹痛和肾上腺异常的鉴别诊断。
