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白塞病:给泌尿生殖医学医生的综述

Behçet's syndrome: a review for the genitourinary medicine physician.

作者信息

Lewis D A

机构信息

Jefferiss Wing, St Mary's Hospital, London, UK.

出版信息

Int J STD AIDS. 1996 May-Jun;7(3):176-83. doi: 10.1258/0956462961917573.

Abstract

Behcet's syndrome is a multisystem disorder due to vasculitis of unknown aetiology. It may present to genitourinary medicine physicians with genital ulceration. Careful history-taking and clinical examination should allow a correct diagnosis which may be confirmed by reference to the new diagnostic criteria including performing a pathergy test. Of particular importance is a prompt referral to an ophthalmologist for an ocular slit-lamp assessment as eye involvement can be severe and therapy needs to be started early in the course of the illness. The management of Behçet's syndrome may also involve rheumatologists, gastroenterologists, neurologists and immunologists. Close liaison between these clinicians may be necessary to provide optimum care for the patient with Behçet's syndrome.

摘要

白塞病是一种病因不明的血管炎引起的多系统疾病。它可能以生殖器溃疡的症状出现在泌尿生殖医学医生面前。通过仔细的病史采集和临床检查应能做出正确诊断,参考包括进行针刺试验在内的新诊断标准可予以确诊。特别重要的是要迅速转诊至眼科医生处进行眼部裂隙灯检查,因为眼部受累可能很严重,且需要在病程早期就开始治疗。白塞病的治疗可能还涉及风湿病学家、胃肠病学家、神经科医生和免疫学家。这些临床医生之间密切联络对于为白塞病患者提供最佳治疗可能是必要的。

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