肿瘤疾病的风湿病模拟:1例报告

Yu Khaidarova, B. Isayeva, B. Seizhanova, Zharkynay Akhmetova, N. Batyrkhanova, A. Kulembayeva
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引用次数: 0

摘要

诊断系统性红斑狼疮的困难与不同的临床症状有关,在整个疾病中出现新的疾病体征,并且许多症状消失。经常有发病不寻常的病例,没有皮肤表现,病程无症状。案例总结。本文介绍了一位37岁的患者的病史,她首次出现系统性自身免疫性疾病的表现,自身抗体阳性,导致误诊和治疗不充分。讨论。风湿病学家的实践越来越多地注意到需要鉴别诊断风湿病和副肿瘤综合征的临床病例。在疾病的不同阶段,不同部位的恶性肿瘤可出现“风湿病面具”,表现出骨关节韧带、肌肉、血管和内脏器官受损的迹象。关键词:系统性红斑狼疮,狼疮样综合征,副肿瘤综合征,鉴别诊断
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Rheumatological mimics of oncological disorders: a case report
Difficulties in diagnosing system lupus erythematosus аssociated with a diverse clinical picture where new signs of the disease appear throughout the disease, and a number of symptoms disappear. There are often cases of unusual onset of the disease with absence of skin manifestations asymptomatic course of the disease. Case summary. This article presents the history of a 37-year-old patient who had manifestations of systemic autoimmune disease with autoantibodies positivity in her debut, which led to an erroneous diagnosis and inadequate treatment. Discussion. The practice of a rheumatologist increasingly notes clinical cases requiring differential diagnosis between rheumatic diseases and paraneoplastic syndrome. "Rheumatological masks" can develop in malignant tumors of different localization at different stages of the disease, showing signs of damage to the bone-joint and ligament apparatus, muscles, vessels and internal organs. Keywords: systemic lupus erythematosus, lupus-like syndrome, paraneoplastic syndrome, differential diagnostics.
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