摘要
复发性多软骨炎是一种罕见的全身性自身免疫性疾病,其累及部位广泛且发病症状不典型,同时无特异性的检查手段,导致早期诊断非常困难,从而严重影响患者预后。现报道1例因呼吸道症状就诊的老年女性患者,不适症状仅出现1个月余,胸部CT及喉镜未见明显异常,予抗菌、抗病毒等治疗,效果不佳;^(18)F-FDG PET/CT示气管支气管、鼻软骨及甲状软骨、环状软骨受累;经过病理学验证,临床诊断为复发性多软骨炎,给予激素及雷公藤多苷片治疗,患者目前无复发。
Relapsing polychondritis is a rare systemic autoimmune disease,which involves a wide range of sites,has atypical symptoms,and has no specific means of examination,resulting in very difficult early diagnosis,which seriously affects the prognosis of patients.We report a case of an elderly female patient with respiratory symptoms,discomfort symptoms only appeared for more than 1 month,chest CT and laryngoscopy showed no obvious abnormalities.The effect of antibacterial,antiviral and anti-inflammatory treatment is not good.^(18)F-FDG PET/CT showed that trachea,bronchus,nasal cartilage,thyroid cartilage,cricoid cartilage were involved.After pathological examination,the patient was clinically diagnosed as relapsing polychondritis.After treatment with methylprednisolone and tripterygium glycoside tablets,the patient had no recurrence at present.
作者
芮忠颖
曹凯悦
李越
陆东燕
沈婕
Rui Zhongying;Cao Kaiyue;Li Yue;Lu Dongyan;Shen Jie(Department of Nuclear Medicine,Tianjin First Central Hospital,Tianjin 300110,China;Department of Pathology,Tianjin First Central Hospital,Tianjin 300110,China)
出处
《中国综合临床》
2024年第3期219-222,共4页
Clinical Medicine of China
关键词
复发性多软骨炎
激素
雷公藤多苷片
Recurrent polychondritis
Hormones
Tripterygium glycoside tablets
