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[一位白塞病患者的肝脓肿]

[LIVER ABSCESSES IN A PATIENT WITH BEHCET'S DISEASE].

作者信息

Keret Shiri, Sawaed Alaa, Shouval Aniela, Awisat Abid, Odi Eli, Nizar Elias

机构信息

Rheumatology Unit, Bnai Zion Medical Center, Faculty of Medicine, Technion Israel Institute of Technology, Haifa, Israel.

Internal Medicine A, Bnai Zion Medical Center, Faculty of Medicine, Technion Israel Institute of Technology, Haifa, Israel.

出版信息

Harefuah. 2025 Jun;164(6):347-350.

Abstract

Behçet's disease is an autoimmune inflammatory disorder manifested by oral and genital ulcers along with heterogeneous involvement of various organs including eyes, skin, and blood vessels. Aseptic abscesses are a rare manifestation of autoinflammatory diseases and have been reported in isolated cases as part of Behçet's disease. We present a case of an 18-year-old patient with a new diagnosis of Behçet's disease who presented with aseptic liver abscesses. After an extensive negative infectious workup, the patient was treated with steroids, resulting in rapid and complete clinical and laboratory resolution. This case highlights the importance of clinician awareness of this rare complication to achieve correct diagnosis and appropriate treatment.

摘要

白塞病是一种自身免疫性炎症性疾病,表现为口腔和生殖器溃疡,以及包括眼睛、皮肤和血管在内的各种器官的异质性受累。无菌性脓肿是自身炎症性疾病的罕见表现,在个别病例中曾作为白塞病的一部分被报道。我们报告一例18岁新诊断为白塞病的患者,该患者出现了无菌性肝脓肿。在进行了广泛的阴性感染性检查后,患者接受了类固醇治疗,临床和实验室检查结果迅速且完全恢复正常。该病例强调了临床医生认识这种罕见并发症对于实现正确诊断和适当治疗的重要性。

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