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系统性红斑狼疮患者出现颈动脉痛、复发性缺血性卒中及颈动脉血栓形成:1 例罕见病例报告。

An unusual case of carotidynia preceding recurrent ischemic stroke with carotid thrombosis in a patient with systemic lupus erythematosus.

机构信息

Department of Internal medicine, 91577Jeju National University Hospital, Jeju National University School of Medicine, Jeju, Republic of Korea.

Department of Neurology, 91577Jeju National University Hospital, Jeju National University School of Medicine, Jeju, Republic of Korea.

出版信息

Lupus. 2022 Dec;31(14):1824-1828. doi: 10.1177/09612033221135868. Epub 2022 Oct 26.

DOI:10.1177/09612033221135868
PMID:36289010
Abstract

Carotid artery thrombosis following carotidynia is an uncommon manifestation of systemic lupus erythematosus. We report the case of a woman without evidence of a lupus flare-up who presented with the unusual clinical course of ipsilateral carotidynia and recurrent ischemic stroke due to carotid thrombosis. To our knowledge, this is the first case of such an unusual manifestation in lupus and highlights distinctive challenges in the diagnosis and management of carotid artery thrombosis following carotidynia.

摘要

颈动脉痛后发生颈动脉血栓形成是红斑狼疮全身性表现中不常见的一种。我们报告了一例无狼疮活动证据的女性患者,其表现为同侧颈动脉痛的不寻常临床过程,并因颈动脉血栓形成而反复发生缺血性中风。据我们所知,这是狼疮中这种不寻常表现的首例病例,突出了颈动脉痛后发生颈动脉血栓形成的诊断和处理方面的独特挑战。

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