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系统性红斑狼疮患者的非典型表现。

Atypical manifestations in a patient with systemic lupus erythematosus.

作者信息

Lam K Y, Cheung F, Yam L Y, Lee C H, Fung K H

机构信息

Department of Pathology, University of Hong Kong, Queen Mary Hospital.

出版信息

J Clin Pathol. 1997 Feb;50(2):174-6. doi: 10.1136/jcp.50.2.174.

DOI:10.1136/jcp.50.2.174
PMID:9155706
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC499750/
Abstract

Systemic lupus erythematosus (SLE) is a chronic systemic inflammatory disease associated with the production of various autoantibodies and involvement of multiple organs. Necropsy findings in a 65 year old woman with SLE who had multiple aortic aneurysms and dissections, as well as other unusual manifestations, are described. The case illustrates the occurrence of and the difficulties encountered in the diagnosis of several diseases, namely aortic aneurysm, aortic dissection, acute pancreatitis, and Penicillium marneffei infection.

摘要

系统性红斑狼疮(SLE)是一种慢性全身性炎症性疾病,与多种自身抗体的产生及多器官受累有关。本文描述了一名65岁患有SLE的女性尸检结果,该患者有多个主动脉瘤和主动脉夹层,以及其他不寻常的表现。该病例说明了几种疾病,即主动脉瘤、主动脉夹层、急性胰腺炎和马尔尼菲青霉感染的发生情况及诊断中遇到的困难。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3ed/499750/55cff9b0eaac/jclinpath00251-0087-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3ed/499750/3bc28b895e5c/jclinpath00251-0086-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3ed/499750/55cff9b0eaac/jclinpath00251-0087-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3ed/499750/3bc28b895e5c/jclinpath00251-0086-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3ed/499750/55cff9b0eaac/jclinpath00251-0087-a.jpg

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Atypical manifestations in a patient with systemic lupus erythematosus.系统性红斑狼疮患者的非典型表现。
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2
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本文引用的文献

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Aortitis with dissection complicating systemic lupus erythematosus.主动脉炎伴夹层形成,并发系统性红斑狼疮。
Pathology. 1995 Jul;27(3):224-8. doi: 10.1080/00313029500169023.
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Aortic aneurysm in systemic lupus erythematosus.系统性红斑狼疮中的主动脉瘤
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Dissection of the thoracic-abdominal aorta in a young adult with systemic lupus erythematosus.
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Mycopathologia. 2019 Dec;184(6):709-720. doi: 10.1007/s11046-019-00410-2.
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Talaromyces (Penicillium) marneffei infection in non-HIV-infected patients.非HIV感染患者的马尔尼菲篮状菌(青霉菌)感染
Emerg Microbes Infect. 2016 Mar 9;5(3):e19. doi: 10.1038/emi.2016.18.
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Surg Today. 1999;29(1):76-9. doi: 10.1007/BF02482975.
4
Penicilliosis marneffei in Thailand: report of five human cases.泰国马尔尼菲青霉病:5例人类病例报告。
Am J Trop Med Hyg. 1984 Jul;33(4):637-44. doi: 10.4269/ajtmh.1984.33.637.
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Acute dissecting aneurysm of the aorta after renal transplantation.肾移植术后主动脉急性夹层动脉瘤
J Urol. 1983 Apr;129(4):803-4. doi: 10.1016/s0022-5347(17)52372-1.
6
Aortic disease with valvular insufficiency as the principal manifestation of systemic lupus erythematosus.以主动脉瓣关闭不全为主要表现的系统性红斑狼疮性主动脉疾病。
Ann Intern Med. 1969 Jul;71(1):81-7. doi: 10.7326/0003-4819-71-1-81.
7
Dissecting aortic aneurysm in a patient with SLE.
J Rheumatol. 1988 Mar;15(3):525-6.
8
Urgent operation for acute transverse aortic arch dissection.急性横贯性主动脉弓夹层的紧急手术
J Thorac Cardiovasc Surg. 1989 Mar;97(3):334-41.
9
Aortic aneurysm at autopsy: a five year survey in Hong Kong.尸检中的主动脉瘤:香港地区的五年调查
Am J Cardiovasc Pathol. 1992;4(1):31-40.
10
Acute dissecting aneurysm of the aorta as the fatal event in systemic lupus erythematosus.急性主动脉夹层动脉瘤作为系统性红斑狼疮的致死事件。
Am Heart J. 1977 Mar;93(3):378-81. doi: 10.1016/s0002-8703(77)80258-5.