van Deuren M, van Gurp P J, Fennis J F, van der Meer J W
Afd. Algemeen Interne Geneeskunde, Academisch Ziekenhuis, Nijmegen.
Ned Tijdschr Geneeskd. 1997 May 31;141(22):1098-101.
A 19-years-old Turkish woman had recurrent attacks of abdominal pain. She underwent numerous diagnostic procedures and an appendectomy. In addition, imminent pethidine addiction developed. It was only after the patient presented with a swollen painless wrist, some years later, that the correct diagnosis was made: C1 esterase inhibitor deficiency. Early recognition may prevent a prolonged course and is mandatory as the disease is potentially life-threatening.
一名19岁的土耳其女性反复出现腹痛。她接受了多次诊断检查并做了阑尾切除术。此外,还出现了即将成瘾的哌替啶依赖情况。几年后,直到患者出现无痛性手腕肿胀,才做出了正确诊断:C1酯酶抑制剂缺乏症。早期识别可以避免病程延长,鉴于该疾病有潜在的生命危险,早期识别是必须的。