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題名 | 復發性多重軟骨炎:病例報告=Relapsing Polychondritis--A Case Report |
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作者姓名(中文) | 夏翠蘭; 黃國晉; 李龍騰; 婁培人; | 書刊名 | 中華民國家庭醫學雜誌 |
卷期 | 7:4 1997.12[民86.12] |
頁次 | 頁200-205 |
分類號 | 415.695 |
關鍵詞 | 復發性多重軟骨炎; Relapsing polychondritis; |
語文 | 中文(Chinese) |
中文摘要 | 復發性多重軟骨炎乃一罕見疾病。本文報告一72歲男性以發燒、乾咳、呼吸困難 為始發,併雙耳廓軟骨炎眼症狀。實驗室檢查呈非專一性結果,具正球性貧血、嗜伊紅性球 增加、紅血球沉降速率增加、C 反應性蛋白增加,血清γ - 球蛋白增加及白蛋白減少。 經 類固醇治療後,病人症狀明顯改善。面對疾病型態多元化的今天,家庭醫師也應瞭解本病, 及早發現與處理,以減輕病人之痛苦。 |
英文摘要 | Relapsing polychondritis is a rare disease. Herein, we reported a 72- year-old man with the initial manifestation of fever (up to 38.5 ℃ ), dry cough, dyspnea, and followed by bilateral perichondritis, ocular symptoms, and hoarseness. Laboratory tests disclosed anemia, mild leukocytosis and eosinophilia, increased erythrocyte sedimentation rate, increased C-reactive protein, increased α 1, β globulin, superimposed γ -globulin, and decreased albumin level. Audiogram showed a mild to moderate high tone sensorineural loss. After treatment with prednisolone, the disease improved significantly. |
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