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一名埃勒斯-当洛综合征患者服用西地那非后发生血胸的罕见病例。

An Unusual Case of Hemothorax in an Ehlers-Danlos Syndrome Patient Following Sildenafil Use.

作者信息

Varkey Ashwin, Killian Katherine, Melnick Jillian

机构信息

Internal Medicine, Lenox Hill Hospital, New York, USA.

出版信息

Cureus. 2024 Feb 27;16(2):e55084. doi: 10.7759/cureus.55084. eCollection 2024 Feb.

Abstract

Ehlers-Danlos syndrome is a disorder of collagen production that affects the connective tissues of the body. It can cause several conditions and severely affect patients' quality of life and activities of daily living. Here, we present an unusual case of hemothorax in a patient with Ehlers-Danlos syndrome after sildenafil use. This manifested in shortness of breath and cough and prompted the patient to visit the emergency room. The hemothorax was treated surgically, and the patient recovered well. Sildenafil was initially prescribed via a telemedicine service without in-person consultation. It is important that physicans perform a thorough history and physical examination prior to prescribing medications to patients, especially those at risk for complications.

摘要

埃勒斯-当洛综合征是一种影响身体结缔组织的胶原蛋白生成紊乱疾病。它可引发多种病症,严重影响患者的生活质量和日常生活活动。在此,我们报告一例埃勒斯-当洛综合征患者在使用西地那非后发生血胸的罕见病例。该病例表现为呼吸急促和咳嗽,促使患者前往急诊室就诊。血胸通过手术治疗,患者恢复良好。西地那非最初是通过远程医疗服务开具的,未进行面对面咨询。医生在给患者开药前,尤其是给有并发症风险的患者开药前,进行全面的病史询问和体格检查非常重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f17c/10974947/f1effeaa2bff/cureus-0016-00000055084-i01.jpg

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