中华内科杂志最新文献

{"title":"[A case of subacute phosphate nephropathy caused by oral sodium phosphate].","authors":"B F Su, S S Lin, Y Liang, B Chen, C S Chen","doi":"10.3760/cma.j.cn112138-20240412-00237","DOIUrl":"10.3760/cma.j.cn112138-20240412-00237","url":null,"abstract":"","PeriodicalId":68309,"journal":{"name":"中华内科杂志","volume":"63 10","pages":"1007-1010"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Research progress on the pathogenesis of acquired aplastic anemia].","authors":"H Yu, Y Y Lei, S X Ding, R Fu","doi":"10.3760/cma.j.cn112138-20240411-00233","DOIUrl":"https://doi.org/10.3760/cma.j.cn112138-20240411-00233","url":null,"abstract":"","PeriodicalId":68309,"journal":{"name":"中华内科杂志","volume":"63 10","pages":"1024-1028"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Report of six cases with mast cell leukemia and a literature review].","authors":"F Zhu, Y Yu, C Y Chen, W B Duan, Q Jiang, R Yan, Y Sun, Y Q Han, J Zhang, H Wang, Q R Zhang, S N Chen, W H Yan, M J Cai, Z B Zhang, J Yin, Q Wang","doi":"10.3760/cma.j.cn112138-20240401-00209","DOIUrl":"10.3760/cma.j.cn112138-20240401-00209","url":null,"abstract":"<p><p>From October 2021 to February 2023, we retrospectively analyzed the clinical and laboratory data of six patients (three male and three female, median age: 54 years, age range: 29-73 years) with mast cell leukemia (MCL) diagnosed in the First Affiliated Hospital of Soochow University (The Mastocytosis Collaborative Network of China). All patients had acute MCL, with at least one C-finding present. The main clinical presentations were hypoalbuminemia (<i>n</i>=4), fatigue (<i>n</i>=3), fever (<i>n</i>=2), abdominal discomfort (<i>n</i>=2), osteolytic lesions (<i>n</i>=2), dizziness (<i>n</i>=1), skin flushing (<i>n</i>=1), and weight loss (<i>n</i>=1). Splenomegaly and lymphadenopathy were noted in six and three patients, respectively. Six patients were strongly positive for CD117, five were positive for CD30 and CD25, and four were positive for CD2. Four patients had a normal karyotype and two patients had an abnormal karyotype. Gene mutations were detected in 4/6 cases. The median serum tryptase level was 24.9 (range: 20.1-171.9) μg/L. Two patients were treated with venetoclax and azacitidine for induction (one patient achieved partial remission by combination with afatinib, while there was no remission after combination with dasatinib in the other patient). Two patients did not achieve complete remission despite treatment with cladribine and imatinib, respectively. One patient treated with interferon combined with glucocorticoids was lost to follow-up, and one patient abandoned treatment. The follow-up time ranged from 1.1 to 21.7 months. Three patients died and two survived. Overall, MCL is a rare subtype of systemic mastocytosis with heterogeneous clinical course, and these patients have poor outcome. A better understanding of the clinical characteristics, treatment, and prognosis of MCL is urgently needed.</p>","PeriodicalId":68309,"journal":{"name":"中华内科杂志","volume":"63 10","pages":"996-1000"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Study on the correlation between fatty liver index and the outcome of high normal blood pressure].","authors":"J C Qu, A P Wang, J T Dou, W J Gu, Z H Lyu, Y M Mu","doi":"10.3760/cma.j.cn112138-20240409-00229","DOIUrl":"https://doi.org/10.3760/cma.j.cn112138-20240409-00229","url":null,"abstract":"<p><p><b>Objective:</b> To analyze the correlation between fatty liver index (FLI) and the outcomes of individuals with high normal blood pressure. <b>Methods:</b> In this retrospective cohort study, data from the follow-up population of the Beijing branch of the Risk Evaluation of Cancers in Chinese Diabetic Individuals: A Longitudinal (REACTION) study conducted from December 2011 to August 2012 were selected. Obtain indicators such as height, weight, waist circumference, fasting blood glucose, 2-h postprandial blood glucose, triglycerides, high-density lipoprotein cholesterol, and glutamyl transpeptidase were measured, and the FLI was calculated. The population with high normal blood pressure was divided into the FLI<30 group (1 822 cases); 30≤FLI<60 group (1 026 cases); and FLI≥60 group (473 cases) based on FLI levels. The blood pressure outcome data from the follow-up survey of this population from April 2015 to September 2015 were collected. Single factor analysis of variance was used for intergroup comparison, and logistic regression was used to analyze the correlation between FLI and the outcome of high normal blood pressure in the population. <b>Results:</b> The FLI was an independent influencing factor for their conversion to normal blood pressure (all <i>P<</i>0.01). Among all observed populations, the likelihood of conversion to normal blood pressure in the 30≤FLI<60 group and FLI≥60 group was 0.63 (95%<i>CI</i> 0.51-0.78) and 0.61 (95%<i>CI</i> 0.45-0.82) of the FLI<30 group, respectively. In the population of 40≤age<60 years, this likelihood was 0.60 (95%<i>CI</i> 0.47-0.76) and 0.57 (95%<i>CI</i> 0.41-0.79), respectively. FLI is not an independent influencing factor for the conversion to normal blood pressure in individuals aged over 60 years (<i>P</i>=0.161). FLI is an independent risk factor for hypertension (all <i>P</i><0.05). Among all observed populations and population of 40≤age<60 years and age>60 years, the risk of hypertension in the 30≤FLI<60 group and FLI≥60 group was 1.49 times (95%<i>CI</i> 1.23-1.80) and 1.54 times (95%<i>CI</i> 1.19-1.98); 1.41 times (95%<i>CI</i> 1.13-1.75) and 1.38 times (95%<i>CI</i> 1.04-1.83); and 1.75 times (95%<i>CI</i> 1.22-2.53) and 2.10 times (95%<i>CI</i> 1.24-3.58) of the FLI<30 group, respectively. <b>Conclusions:</b> There is a correlation between FLI levels and future outcomes of individuals with normal high blood pressure. Although people with higher FLI are more likely to develop hypertension, those with higher FLI are also less likely to develop normal blood pressure in the 40≤age<60-year group.</p>","PeriodicalId":68309,"journal":{"name":"中华内科杂志","volume":"63 10","pages":"968-974"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Progresses and hot spots of cerebrovascular disease in the past decade].","authors":"J J Li, Y J Wang","doi":"10.3760/cma.j.cn112138-20240531-00354","DOIUrl":"https://doi.org/10.3760/cma.j.cn112138-20240531-00354","url":null,"abstract":"","PeriodicalId":68309,"journal":{"name":"中华内科杂志","volume":"63 10","pages":"917-921"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Atrial fibrillation as initial manifestation in one patient with Fabry disease receiving amiodarone].","authors":"S J Chen, H Yan, Z H Yu","doi":"10.3760/cma.j.cn112138-20240326-00195","DOIUrl":"10.3760/cma.j.cn112138-20240326-00195","url":null,"abstract":"","PeriodicalId":68309,"journal":{"name":"中华内科杂志","volume":"63 9","pages":"881-885"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142057470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[A trend to screen primary aldosteronism not interfering the administration of common antihypertensive drugs].","authors":"Y Jing, J B Hu, S M Yang, Y Song, Q F Li","doi":"10.3760/cma.j.cn112138-20240110-00024","DOIUrl":"10.3760/cma.j.cn112138-20240110-00024","url":null,"abstract":"","PeriodicalId":68309,"journal":{"name":"中华内科杂志","volume":"63 9","pages":"835-838"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142057468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Research progress on clinical features and pathogenesis of anti-gp210-positive primary biliary cholangitis].","authors":"Z Yang, X Y Wang, Y Ran, L Li, B M Wang, L Zhou","doi":"10.3760/cma.j.cn112138-20230901-00104","DOIUrl":"10.3760/cma.j.cn112138-20230901-00104","url":null,"abstract":"","PeriodicalId":68309,"journal":{"name":"中华内科杂志","volume":"63 9","pages":"901-906"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142057437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Two cases of inflammatory myopathy complicated with primary biliary cholangitis with myocardial involvement as the initial manifestation].","authors":"J Li, Y Y Pang, B W Zhang, S Zhou, Q Wang, J Z Lai, M T Li","doi":"10.3760/cma.j.cn112138-20231206-00366","DOIUrl":"10.3760/cma.j.cn112138-20231206-00366","url":null,"abstract":"","PeriodicalId":68309,"journal":{"name":"中华内科杂志","volume":"63 9","pages":"876-880"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142057441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Diagnosis and treatment of late onset Pompe disease: a case report].","authors":"L L Zhou, Y Q Shao, P Xia, X Q Wu, Q Y Chen, Q L Xu","doi":"10.3760/cma.j.cn112138-20240408-00221","DOIUrl":"10.3760/cma.j.cn112138-20240408-00221","url":null,"abstract":"","PeriodicalId":68309,"journal":{"name":"中华内科杂志","volume":"63 9","pages":"886-888"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142057431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}