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患有非创伤性腹部瘀伤的女性。

Female with Atraumatic Abdominal Bruising.

作者信息

Pacheco Zachary S, Johnson Grace, Shufflebarger Erin F

机构信息

University of Alabama Birmingham Heersink School of Medicine, Department of Emergency Medicine, Birmingham, Alabama.

出版信息

Clin Pract Cases Emerg Med. 2023 Aug;7(3):200-201. doi: 10.5811/cpcem.1247.

DOI:10.5811/cpcem.1247
PMID:37595308
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10438932/
Abstract

CASE PRESENTATION

We describe the case of a 38-year-old female patient with a history of lupus presenting with atraumatic abdominal pain and ecchymosis. The ultimate diagnosis of abdominal lupus erythematous panniculitis was determined based on physical exam and imaging findings.

DISCUSSION

Lupus erythematous panniculitis is a rare diagnosis, but consideration is important as early recognition and treatment is important to reduce pain and lessen the possibility of irreversible disfigurement and unnecessary costs to affected patients.

摘要

病例报告

我们描述了一位38岁有狼疮病史的女性患者，她出现了非创伤性腹痛和瘀斑。根据体格检查和影像学检查结果，最终诊断为腹部红斑狼疮性脂膜炎。

讨论

红斑狼疮性脂膜炎是一种罕见的诊断，但鉴于早期识别和治疗对于减轻疼痛、降低受影响患者出现不可逆毁容的可能性以及减少不必要的费用非常重要，因此需要予以考虑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d11/10438932/283d71485fd4/cpcem-7-200-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d11/10438932/d59f66102651/cpcem-7-200-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d11/10438932/283d71485fd4/cpcem-7-200-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d11/10438932/d59f66102651/cpcem-7-200-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d11/10438932/283d71485fd4/cpcem-7-200-g002.jpg

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1
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Clin Pract Cases Emerg Med. 2023 Aug;7(3):200-201. doi: 10.5811/cpcem.1247.
2
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本文引用的文献

1
Clinical Characteristics of Lupus Erythematosus Panniculitis/Profundus: A Retrospective Review of 61 Patients.红斑狼疮脂膜炎/深部狼疮的临床特征：61 例回顾性研究
JAMA Dermatol. 2020 Nov 1;156(11):1264-1266. doi: 10.1001/jamadermatol.2020.2797.
2
Novel diagnostic imaging features of facial lupus panniculitis: ultrasound, CT, and MR imaging with histopathology correlate.面部狼疮性脂膜炎的新型诊断成像特征：超声、CT 和 MRI 成像与组织病理学相关。
Clin Imaging. 2019 Nov-Dec;58:177-181. doi: 10.1016/j.clinimag.2019.07.006. Epub 2019 Jul 23.
3
Lupus erythematosus panniculitis.
红斑狼疮性脂膜炎。
Dermatol Clin. 2008 Oct;26(4):453-63, vi. doi: 10.1016/j.det.2008.06.002.
4
Systemic lupus erythematosus presenting as panniculitis (lupus profundus).
Ann Intern Med. 1975 Mar;82(3):376-9. doi: 10.7326/0003-4819-82-3-376.