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斯内登综合征与工作能力:关于一个临床病例

Sneddon's Syndrome and the Capability to Work: With Regard to a Clinical Case.

作者信息

Ribeiro Rui, Saldanha Nuno, Matos Pedro, Teófilo Vanessa, Moreira Salomé, Pinho Paulo, Norton Pedro

机构信息

Occupational Health Service of Centro Hospitalar e Universitário de São João (CHUSJ), Porto, Portugal.

出版信息

Indian J Occup Environ Med. 2024 Jan-Mar;28(1):83-85. doi: 10.4103/ijoem.ijoem_247_23. Epub 2024 Apr 10.

Abstract

Sneddon's syndrome is a rare condition characterized by the presence of neurocutaneous lesions, including reticular livedo and an increase in thrombotic risk, and it is associated with a greater risk of cerebrovascular disease. It is diagnosed through a skin biopsy and neurological manifestations. In this study, we present a clinical report of a 39-year-old nurse exposed to shift and night work in an intensive care unit. She was diagnosed with Sneddon's syndrome, whose workplace had to be readapted, considering the complications and restrictions of her condition and aiming her protection and healthcare promotion. Night work can exacerbate cerebral and cardiovascular events due to its impact on metabolism, blood pressure profile, and hormone concentrations. Therefore, given a syndrome characterized by an increased thrombotic risk associated with cerebrovascular events, the restriction of night work is imperative. The occupational physician is responsible for intervening in the workplace and preventing long-term consequences for employees.

摘要

斯内登综合征是一种罕见疾病,其特征为存在神经皮肤病变,包括网状青斑和血栓形成风险增加,并且与脑血管疾病风险较高相关。它通过皮肤活检和神经学表现来诊断。在本研究中,我们呈现了一名39岁在重症监护病房从事轮班和夜班工作的护士的临床报告。她被诊断为斯内登综合征,考虑到其病情的并发症和限制,并旨在保护她和促进其医疗保健,其工作场所不得不进行调整。夜班因其对新陈代谢、血压状况和激素浓度的影响,会加剧脑部和心血管事件。因此,鉴于一种以与脑血管事件相关的血栓形成风险增加为特征的综合征,限制夜班工作势在必行。职业医师负责干预工作场所并预防对员工的长期后果。

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