Abu-Shakra M, Koh E T, Treger T, Lee P
University of Toronto Rheumatic Disease Unit, Wellesley Hospital, ON, Canada.
J Rheumatol. 1995 Jul;22(7):1386-8.
We describe a case of diffuse scleroderma with a large pericardial effusion, pleural effusions, and subsequent oliguric renal failure. Histology of the pericardium and pleura revealed the presence of leukocytoclastic vasculitis. Pleuropericarditis in systemic sclerosis may occur on the basis of vasculitis. Large pericardial effusions may predispose to subsequent renal failure.
我们描述了一例弥漫性硬皮病患者,伴有大量心包积液、胸腔积液,随后出现少尿性肾衰竭。心包和胸膜组织学检查显示存在白细胞破碎性血管炎。系统性硬化症中的胸膜心包炎可能基于血管炎而发生。大量心包积液可能易导致随后的肾衰竭。