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非肝炎相关性混合性冷球蛋白血症伴多克隆浆细胞病和酒精性肝硬化:一例罕见病例报告

Non-hepatitis-associated mixed cryoglobulinemia with polyclonal plasma cells disease and alcoholic cirrhosis: A rare case report.

作者信息

Luo Jiao, Liu Cheng, Lv Qing-Jian, He Ting, Qiang Xing, Li Yi, Huang Qi-Mi, He Jia-Lin

机构信息

Department of Gastroenterology, Xinqiao Hospital, Army Medical University, Chongqing, China.

Department of Nephrology, Xinqiao Hospital, Army Medical University, Chongqing, China.

出版信息

Front Med (Lausanne). 2023 Jan 25;10:1014261. doi: 10.3389/fmed.2023.1014261. eCollection 2023.

Abstract

Mixed cryoglobulinemia refers to the serum presence of a variety of cryoglobulins, which are defined as immunoglobulins that precipitate at temperatures of < 37°C. The most common cause of mixed cryoglobulinemia is hepatitis C virus (HCV), while other infections, including hepatitis B virus (HBV) and HIV infections, and lymphoproliferative and autoimmune disorders have also been associated with the disease. We reported a rare case of type II-III mixed cryoglobulinemia caused by alcoholic cirrhosis. We need to increase the awareness of and facilitate the early identification of mixed cryoglobulinemia in our clinical study when encountering a patient with liver cirrhosis combined with renal impairment so that treatment can begin early to improve the success rate of therapy and reduce the fatality rate in a potentially life-saving therapy.

摘要

混合性冷球蛋白血症是指血清中存在多种冷球蛋白,冷球蛋白被定义为在温度低于37°C时沉淀的免疫球蛋白。混合性冷球蛋白血症最常见的病因是丙型肝炎病毒(HCV),而其他感染,包括乙型肝炎病毒(HBV)和HIV感染,以及淋巴增殖性和自身免疫性疾病也与该疾病有关。我们报告了一例由酒精性肝硬化引起的II-III型混合性冷球蛋白血症的罕见病例。在我们的临床研究中,当遇到肝硬化合并肾功能损害的患者时,我们需要提高对混合性冷球蛋白血症的认识并促进其早期识别,以便尽早开始治疗,提高治疗成功率,并降低这种可能挽救生命的治疗中的死亡率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0046/9905412/470ab5bf880d/fmed-10-1014261-g0001.jpg

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