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相關文獻
- Systemic Lupus Erythematous with Raynaud's Phenomenon and Digits Gangrene--A Case Report and Literature Review
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- 全身性紅斑狼瘡
- 全身性紅斑狼瘡(Systemic Lupus Erythematosus)
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題 名 | Systemic Lupus Erythematous with Raynaud's Phenomenon and Digits Gangrene--A Case Report and Literature Review=全身性紅斑狼瘡合併雷諾氏症候群及手指、腳趾壞死--一病例報告及文獻回顧 |
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作 者 | 歐燦騰; 劉宏文; 蔡文展; 顏正賢; 陳忠仁; | 書刊名 | 中華民國風濕病雜誌 |
卷 期 | 14:3/4 民86.11 |
頁 次 | 頁19-29 |
分類號 | 415.695 |
關鍵詞 | 全身性紅斑狼瘡; 雷諾氏症候群; SLE; Raynaud's phenomenon; Digit gangrene; |
語 文 | 英文(English) |
中文摘要 | 一位58歲的女性是全身性紅斑狼瘡的病人,一年前她開始受苦於雷諾氏症候群,這次住院是因手指及腳趾發紺疼痛愈來愈厲害。此病人本身也患有糖尿病、抗磷酯症候群及慢性C型肝炎,手指皮膚切片證實有血管炎,所以她接受鈣離子阻斷劑、肝素、大量類固醇、大量免疫抑制劑、血漿交換術等多種治療方法,但均無效。手指及腳趾最後壞死而自然脫落。 |
英文摘要 | We reported a Patient with systemic lupus erythematosus complicated by Raynaud's phenomenon. She was also a case of diabetes mellitus, antiphospholipid syndrome and chronic hepatitis C infection. Skin biopsy of a fingertip revealed leukocytoclastic vasculitis. Hence vasculitis induced Raynaud's phenomenon was suspected. She received the following treatment--nifedipine, intravenous heparin, large amount of prednisolone (60-100 mg.q.d.), pulse cyclophosphamide, plasma exchange, prostaglandin E��, azathioprine (100 mg q.d.), pulse steroid and triiodothyronine. But these drugs were not effective. Gangrenous change of her fingers and toes were the final results. She refused to receive surgical intervention and autoamputation of her digits was the final result. |
本系統中英文摘要資訊取自各篇刊載內容。