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新冠病毒是徒有其表吗?

Is COVID-19 All That Glitters?

作者信息

Spampinato Salvatore, Di Marco Maurizio, Mammolito Luciano, Scarfia Alessia, Valastro Maurizio, Di Mauro Stefania, Bosco Giosiana, Purrello Francesco, Piro Salvatore

机构信息

Department of Clinical and Experimental Medicine, Internal Medicine, Garibaldi-Nesima Hospital, University of Catania, 95122 Catania, Italy.

Radiodiagnostic Unit, Highly Specialized Hospital of National Importance "Garibaldi", 95122 Catania, Italy.

出版信息

J Clin Med. 2023 Mar 28;12(7):2552. doi: 10.3390/jcm12072552.

DOI:10.3390/jcm12072552
PMID:37048637
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10094750/
Abstract

Over the last three years, the Coronavirus-19 disease has been a global health emergency, playing a primary role in the international scientific community. Clinical activity and scientific research have concentrated their efforts on facing the pandemic, allowing the description of novel pathologies correlated to Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), such as the Multisystemic Inflammatory Syndrome in Children and Adults (MIS-C, MIS-A). Conversely, this shift of attention to COVID-19 disease and its complications could, in some cases, have delayed and underestimated the diagnosis of diseases not associated with SARS-CoV-2, including rare diseases. Here we describe the diagnostic process that led to the definition of a rare vasculitis in a young woman with a recent clinical history of SARS-CoV-2.

摘要

在过去三年中,冠状病毒病-19一直是全球卫生紧急事件,在国际科学界发挥着主要作用。临床活动和科学研究都集中精力应对这一疫情,从而得以描述与严重急性呼吸综合征冠状病毒2(SARS-CoV-2)相关的新发病理,如儿童和成人多系统炎症综合征(MIS-C、MIS-A)。相反,这种对COVID-19疾病及其并发症的关注转移,在某些情况下可能会延迟并低估与SARS-CoV-2无关的疾病的诊断,包括罕见病。在此,我们描述了一名近期有SARS-CoV-2临床病史的年轻女性罕见血管炎的诊断过程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cd3/10094750/e06e3765b50d/jcm-12-02552-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cd3/10094750/07ad22f98279/jcm-12-02552-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cd3/10094750/fb87f788b028/jcm-12-02552-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cd3/10094750/e06e3765b50d/jcm-12-02552-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cd3/10094750/07ad22f98279/jcm-12-02552-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cd3/10094750/fb87f788b028/jcm-12-02552-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cd3/10094750/e06e3765b50d/jcm-12-02552-g003.jpg

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本文引用的文献

1
Viral Infections May Be Associated with Henoch-Schönlein Purpura.病毒感染可能与过敏性紫癜有关。
J Clin Med. 2023 Jan 16;12(2):697. doi: 10.3390/jcm12020697.
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Virus and Autoimmunity: Can SARS-CoV-2 Trigger Large Vessel Vasculitis?病毒与自身免疫:新型冠状病毒能否引发大血管血管炎?
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Fever of Unknown Origin.不明原因发热
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Non-COVID-19 patients in times of pandemic: Emergency department visits, hospitalizations and cause-specific mortality in Northern Italy.疫情期间的非新冠患者:意大利北部的急诊科就诊、住院情况及特定病因死亡率
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Hepatitis C virus-related vasculitis.丙型肝炎病毒相关性血管炎。
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