Scleroderma with hepatic sarcoidosis: A case report
-
摘要: <正>硬皮病是一种以皮肤局限性或弥漫性增厚和纤维化为特征的全身性结缔组织病,除皮肤外还可累及内脏。结节病是一种以非干酪肉芽肿为特征的系统性疾病,感染、药物、自身免疫等都可能是本病病因,肺部和淋巴结最常累及,肝脏是第三大常见的累及器官,临床表现缺乏特异性[1-2]。两种疾病很少在同一患者身上被发现,易被漏诊、误诊。现分享1例硬皮病合并肝结节病患者的诊治过程,以加深临床医生对这两种疾病的认识。
-
Key words:
- scleroderma /
- sarcoidosis /
- granuloma
-
[1]PETERS B, VANHOENACKER FM, BEMARD P, et al.Hepatosplenic sarcoidosis complicated by liver cirrhosis[J].J Belg Soc Radiol, 2015, 99 (2) :53-57. [2]SYED U, ALKHAWAM H, BAKHIT M, et al.Hepatic sarcoidosis:pathogenesis, clinical context, and treatment options[J].Scand J Gastroenterol, 2016, 51 (9) :1025-1030. [3]FLAMM SL.Granulomatous liver disease[J].Clin Liver Dis, 2012, 16 (2) :387-396. [4]ZHANG JX, LI YX, WANG HY.A retrospective analysis of the primary symptom and the first visiting department of 66 cases with sarcoidosis[J].J Cardiovascular Pulmonary Dis, 2018, 37 (1) :29-32. (in Chinese) 张健雄, 李云霄, 王浩彦.66例结节病首发表现与首诊科室回顾分析[J].心肺血管病杂志, 2018, 37 (1) :29-32. [5]Statement on sarcoidosis.Joint Statement of the American Thoracic Society (ATS) , the European Respiratory Society (ERS) and the World Association of Sarcoidosis and Other Granulomatous Disorders (WASOG) adopated by the ATSBoard of Directors and by the ERS Executive Committee[J].Am J Respir Crit Care Med, 1999, 160 (2) :736-755. [6]WANG QY, JIA JD.Progress in diagnosis and therapy of hepatic sarcoidosis[J].Chin J Gastroenterol Hepatol, 2010, 19 (12) :1063-1065. (in Chinese) 王倩怡, 贾继东.肝结节病诊断与治疗进展[J].胃肠病学和肝病学杂志, 2010, 19 (12) :1063-1065. [7]MODARESI ESFEH J, CULVER D, PLESEC T, et al.Clinical presentation and protocol for management of hepatic sarcoidosis[J].Expert Rev Gastroenterol Hepatol, 2015, 9 (3) :349-358. [8]UNGPRASERT P, CROWSON CS, SIMONETTO DA, et al.Clinical characteristics and outcome of hepatic sarcoidosis:Apopulation-based study 1976-2013[J].Am J Gastroenterol, 2017, 112 (10) :1556-1563. [9]VALEYR E, RASHID S, RAJAN D, et al.Hepatic sarcoidosis presenting as portal hypertension and liver cirrhosis:Case report and review of the literature[J].Case Rep Gastroenterol, 2012, 6 (1) :183-189. [10]VALEYER D, JENY F, NUNES H.Current medical therapy for sarcoidosis[J].Semin Respir Crit Care Med, 2017, 38 (4) :523-531. [11]REN XX, HOU SW, MA W, et al.A case of systemic scleroderma with skin sarcoidosis[J].J Clin Dermatol, 2014, 43 (5) :290-292. (in Chinese) 任新新, 侯绍伟, 马伟, 等.系统性硬皮病并发皮肤结节病[J].临床皮肤科杂志, 2014, 43 (5) :290-292. [12]SENDA S, LGAWA K, NISHIOKA M, et al.Systemic sclerosis with sarcoidosis:Case report and review of the published work[J].Dermatol, 2014, 41 (5) :421-423.
本文二维码
计量
- 文章访问数: 1042
- HTML全文浏览量: 18
- PDF下载量: 245
- 被引次数: 0