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伴有下腔静脉闭塞的白塞病——病例报告

Behçet's disease with inferior vena cava occlusion--a case report.

作者信息

Yeh H M, Tsai J J, Tsai W J, Yen J H, Chen J R, Liu H W

机构信息

Department of Internal Medicine, Taiwan Provincial Tainan Hospital, Republic of China.

出版信息

Gaoxiong Yi Xue Ke Xue Za Zhi. 1993 Nov;9(11):654-8.

PMID:8046785
Abstract

Behçet's disease is a chronic relapsing inflammatory process affecting mucocutaneous, ocular, intestinal, articular, vascular, urogenital, and neurologic systems. Vascular lesions include superficial thrombophlebitis, large vein thrombosis and arterial aneurysm. The underlying pathologic feature was thought to be vasculitis. We report a case of a 37-year-old male patient suffering from frequent attacks of leg swelling and tenderness. Progressive engorgement of abdominal superficial veins was observed. Venography demonstrated evidence of deep vein thrombosis in both limbs. MRI of the abdomen showed thrombosis of the inferior vena cava with collateral circulation. The above symptoms improved after treatment.

摘要

白塞病是一种慢性复发性炎症性疾病,可累及皮肤黏膜、眼、肠道、关节、血管、泌尿生殖系统及神经系统。血管病变包括浅表血栓性静脉炎、大静脉血栓形成和动脉瘤。其潜在的病理特征被认为是血管炎。我们报告一例37岁男性患者,该患者频繁出现腿部肿胀和压痛发作。观察到腹部浅表静脉逐渐充血。静脉造影显示双下肢深静脉血栓形成。腹部MRI显示下腔静脉血栓形成并伴有侧支循环。经治疗后上述症状有所改善。

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