Case report of a 2-year misdiagnosis and mismanagement of liver cirrhosis complicated by POEMS syndrome
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摘要:
<正>1病例资料患者,女性,62岁,上海籍贯。因"口干、乏力、下肢浮肿5年,腹胀2年,加重1周"于2011年5月25号入院。患者近5年来无明显诱因下出现口干、乏力、下肢浮肿,天气转冷时出现手掌至肘关节皮肤颜色变深发黑,时有下肢皮肤麻木感,于2009年3月上海六院就诊,诊断为"原发性甲状腺功能减退症",予"优甲乐"治疗,症状有所改善,但仍反复。患者2年来反复出现腹胀、尿量减少、双下肢浮肿,于2009年9月14日入
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Key words:
- liver cirrhosis /
- POEMS syndrome
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[1]Bardwick PA, Zvaifler NJ, Gill GN, et al.Plasme cell dyscrasiawith polyneuropathy, organomegaly, endocrinopathy, M-pro-teinand skin changes:the POEMS syndrome[J].Medicine (Balti-more) , 1980, 59 (4) :311-322. [2] Nakanishi T, sobue, Toyokura Y, et al.Crow-Fukase syndrome: a study of 102 cases in Japan[J]. Neurology, 1984, 34 (6) : 712-720. [3]Dispenzieri A, Moreno-Aspitia A, Suarez GA, et al.Peripheralblood stem cell transplantation in 16 patients with POEMS syn-drome, and a review of the literature[J].Blood, 2004, 104:3400-3407.
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