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胆固醇栓子病程中出现乙状结肠穿孔,酷似结节性多动脉炎(作者译)

[Sigmoid perforation during the course of cholesterol emboli simulating polyarteritis nodosa (author's transl)].

作者信息

Godeau P, Herreman G, de Prost Y, Marty J P, Baloc P T, Gray F

出版信息

Sem Hop. 1979;55(19-20):951-4.

PMID:40309
Abstract

Cholesterol emboli have only recently been recognized as a pathological entity and their clinical picture is still not clearly defined. A case is reported of a patient presenting signs of a severe systemic affection with distal arteriolitis and also general and biological signs of a severe inflammatory process having the particular characteristic of apparent corticoid sensitivity. The patient died following ischemic necrosis of the sigmoid from perforation and peritonitis, also related to the presence of cholesterol emboli.

摘要

胆固醇栓子直到最近才被确认为一种病理实体,其临床表现仍未明确界定。本文报告了一例患者,该患者出现严重全身感染的体征,伴有远端小动脉炎,同时还有严重炎症过程的全身和生物学体征,其具有明显的皮质激素敏感性这一特殊特征。患者因乙状结肠缺血坏死穿孔及腹膜炎死亡,这也与胆固醇栓子的存在有关。

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