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一名女性患者肝动脉单器官血管炎的罕见病例:诊断与管理挑战

A Rare Case of Single-Organ Vasculitis of the Hepatic Artery in a Female Patient: Diagnosis and Management Challenges.

作者信息

Quiceno Julian D, Betancur Juan F, Solano Alejandra, Puerta Jose D, Toro Nancy

机构信息

Internal Medicine, Clínica Medellín Grupo QuirónSalud, Medellin, COL.

Internal Medicine, Internal Medicine Investigation Unit, Centro de Investigaciones Clínicas SURA, Medellin, COL.

出版信息

Cureus. 2024 Apr 20;16(4):e58637. doi: 10.7759/cureus.58637. eCollection 2024 Apr.

Abstract

This case report describes a rare occurrence of isolated vasculitis of the hepatic artery in a female patient. The patient presented with abdominal pain, fever, and weight loss, and a diagnosis was made through a combination of imaging studies and serological evaluation of systemic vasculitis. The management of this case was challenging because of the involvement of the hepatic artery without any other clinical manifestations of the systemic disease, apart from the presence of rheumatoid factor and anti-citrullinated cyclic peptide. The authors highlight the importance of considering vasculitis as a potential diagnosis in patients with unexplained abdominal pain and fever and the need for a multidisciplinary approach to the management of these patients. This case also emphasizes the potential complications of vasculitis, including aneurysm formation, and the need for close monitoring and follow-up of these patients.

摘要

本病例报告描述了一名女性患者罕见的孤立性肝动脉血管炎。患者出现腹痛、发热和体重减轻,通过影像学检查和系统性血管炎的血清学评估进行诊断。由于肝动脉受累,且除类风湿因子和抗瓜氨酸化环肽外无全身性疾病的任何其他临床表现,该病例的管理具有挑战性。作者强调,对于不明原因腹痛和发热的患者,应将血管炎视为潜在诊断,并且需要采用多学科方法来管理这些患者。本病例还强调了血管炎的潜在并发症,包括动脉瘤形成,以及对这些患者进行密切监测和随访的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df65/11104283/2c8319524f9d/cureus-0016-00000058637-i01.jpg

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