Renal Vein Thrombosis as an Initial Presentation for Systemic Lupus Erythematosus in a 32-Year-Old Sudanese Male: A Case Report in Palestine.

IF 0.9 Q3 MEDICINE, GENERAL & INTERNAL
Ayah Abu Lehia, Adham Itbaisha, Lila H Abu-Hilal, Abdullah Hamamdah, Adeeb Darras, Abdullatif Shawar
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引用次数: 0

Abstract

Systemic lupus erythematosus (SLE) is a complex autoimmune disease known for its diverse clinical presentations, and one severe complication is lupus nephritis (LN), which significantly contributes to morbidity and mortality. While LN often presents within the first 5 years of SLE diagnosis, renal vein thrombosis (RVT) is a rare vascular complication with a high risk of mortality and morbidity. This case report discusses the rare occurrence of RVT as the initial presentation of SLE in a 32-year-old Sudanese male patient, currently working in Palestine, presenting with flank pain, hematuria, fever, and lower limb edema. The case details the patient's symptoms, examination findings, and extensive laboratory and imaging workup leading to the diagnosis. This report highlights the rare association between RVT and SLE, emphasizing the importance of maintaining a high index of suspicion for SLE in patients with multisystem involvement, especially in males, where the diagnosis may be overlooked due to its lower prevalence. Early recognition can improve patient outcomes and reduce the risk of complications. Further research is needed to better understand the connection between RVT and SLE and to develop more effective treatment strategies.

一名 32 岁苏丹男性以肾静脉血栓作为系统性红斑狼疮的初始表现:巴勒斯坦病例报告。
系统性红斑狼疮(SLE)是一种复杂的自身免疫性疾病,其临床表现多种多样,其中一种严重的并发症是狼疮性肾炎(LN),它极大地增加了发病率和死亡率。狼疮肾炎通常在确诊系统性红斑狼疮的头五年内出现,而肾静脉血栓则是一种罕见的血管并发症,具有很高的死亡率和发病率。本病例报告讨论了一名32岁的苏丹籍男性患者以罕见的RVT作为系统性红斑狼疮的首发症状,该患者目前在巴勒斯坦工作,表现为侧腹疼痛、血尿、发热和下肢水肿。该病例详细描述了患者的症状、检查结果以及导致诊断的大量实验室和影像学检查。该报告强调了RVT与系统性红斑狼疮之间罕见的关联,强调了对多系统受累的患者保持高度怀疑系统性红斑狼疮的重要性,尤其是男性患者,由于其发病率较低,诊断可能会被忽视。早期识别可以改善患者的预后并降低并发症的风险。为了更好地了解RVT与系统性红斑狼疮之间的联系,并制定更有效的治疗策略,我们还需要进一步的研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.90
自引率
0.00%
发文量
165
审稿时长
12 weeks
期刊介绍: The AFMR is committed to enhancing the training and career development of our members and to furthering its mission to facilitate the conduct of research to improve medical care. Case reports represent an important avenue for trainees (interns, residents, and fellows) and early-stage faculty to demonstrate productive, scholarly activity.
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