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系统性红斑狼疮继发耳廓化脓性软骨膜炎1例误诊分析 被引量:1

Misdiagnosis of Auricular Suppurative Pericondritis Secondary to SLE:A Case Report
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摘要 目的:提高外耳炎性疾病的鉴别诊断水平,从而减少误诊。方法:分析1例系统性红斑狼疮(SLE)继发耳廓化脓性软骨膜炎患者的诊治经过,进行文献复习,总结误诊经验。结果:误诊为耳廓复发性多软骨炎(RPC)继发感染,经回顾性分析更正诊断为SLE继发耳廓化脓性软骨膜炎。结论:合并其他自身免疫性疾病时,耳廓化脓性软骨膜炎和RPC鉴别十分困难。耳廓化脓感染时应仔细区分是单纯化脓性感染还是RPC继发感染。 Objective:To improve the diagnostic ability in auricular inflammatory diseases and to reduce misdiagnosis.Methods:The diagnosis and treatment of a case who suffered from auricular suppurative pericondritis secondary to systemic lupus erythematosus(SLE) was analyzed,and relative literatures were reviewed.Results:The case was firstly misdiagnosed as auricular relapsing polychondritis(RPC) with secondary infection,and then corrected as auricular suppurative pericondritis with SLE by retrospective analysis.Conclusion:Identification of auricular suppurative pericondritis and RPC is very difficult when patients are suffering from other autoimmune diseases simultaneously.In auricle with infection and purulency,single suppurative infection and RPC with secondary infection should be differentiated.
出处 《武汉大学学报(医学版)》 CAS 北大核心 2011年第5期642-644,共3页 Medical Journal of Wuhan University
关键词 耳廓感染 化脓性软骨膜炎 复发性多软骨炎 系统性红斑狼疮 误诊 Auricular Infection Suppurative Perichondritis Relapsing Polychondritis Systemic Lupus Erythematosus Misdiagnosis
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参考文献12

  • 1李泽卿,周文光,陈伟,吴昆旻,程友,徐艳,王秋萍.复发性多软骨炎(2例报告及文献复习)[J].中国耳鼻咽喉颅底外科杂志,2007,13(6):444-447. 被引量:4
  • 2Balsa-Criado A, Gonzalez-Hernandez T, Cuesta MV, et al. Lupus anticoagulant in relapsing polychondritis [J]. Rheumatic, 1990, 17(10): 1 426-1 427.
  • 3Hansson AS, Heinegard D, Piette JC, et al. The occurrence of auto antibodies to matrilin reflects a tissue-speciflc response to cartilage of the respiratory tract in patients with relapsing polychondritis [J]. Arthritis Rheum, 2001, 44(10):2 402-2 412.
  • 4Foidart JM, Abe S, Martin GR, et al. Antibodies to type II collagen in relapsing polychondritis [J]. N EnglJ Med, 1978, 299(22):1 203-1 207.
  • 5Kempta Lekpa F, Piette JC, Bastuji-Garin S, et al. Serum cartilage oligomeric matrix protein (COMP) level is a marker of disease activity in relapsing polychondritis [J]. Clin Exp Rheumatol, 2010, 28(4) :553 555.
  • 6McAdam LP, Hanlan MA, Bluestone R, et al. Relapsing polychondritis., prospective study of 23 patients and a review of the literature [J]. Medicine (Baltimore), 1976, 55(3):193-215.
  • 7Damiani JM, Levine HL. Relapsing polychondritis--report of ten cases[J]. Laryngoscope. 1979, 89(6) :929-1 075.
  • 8Valesini G, Iannuccelli C, Marocchi E, et al. Biological and clinical effects of anti-TNFa treatment [J]. Autoimmun Rev, 2007, 7(1):35-41.
  • 9卢振民.耳廓化脓性软骨膜炎50例疗效观察[J].中国误诊学杂志,2004,4(8):1243-1244. 被引量:6
  • 10Prasad HK, Sreedharan S, Prasad HS, et al. Perichondritis of the auricle and its managemen [J].Laryngol Otol, 2007, 121(6): 530-534.

二级参考文献25

  • 1顾美珍,殷善开.复发性多软骨炎[J].罕少疾病杂志,2004,11(5):39-42. 被引量:6
  • 2李玉苹,陈成水,叶民,周为中,谢于鹏,陈彦凡.复发性多软骨炎气道累及的内镜下表现和介入处理[J].浙江临床医学,2006,8(3):235-236. 被引量:2
  • 3马鑫,余力生.以突发听力下降为首发表现的复发性多软骨炎[J].听力学及言语疾病杂志,2006,14(4):301-303. 被引量:12
  • 4张华荣 周秋平 龚力.虎杖膏在耳鼻咽喉科的应用[J].中华耳鼻咽喉科杂志,1979,14(2):111-111.
  • 5王绍武.清创术对化脓性耳廓软骨膜炎的疗效观察[J].中华耳鼻咽喉杂志,1989,24(3):142-142.
  • 6中华耳鼻咽喉科杂志编委会综合.复发性多软骨炎(10例综合报告)[J].中华耳鼻咽喉科杂志,1981,16(1):14-15.
  • 7Letko E, Zafriakis P, Baltatzis S, et al. Relapsing polychondritis: a clinical review[J]. Semin Arthritis Rheum, 2002, 31 (6): 384--395.
  • 8Buckner JH, Van Landeghen M, Kwok WW, et al. Identification of type Ⅱ collagen peptide 261--273 specific T cell clones in a patient with relapsing polychondritis [J]. Arthritis Rheum, 2002, 46(1): 238--244.
  • 9Bachor E, Blevins NH, Karmody.C, et al. Otologic manifestations of relapsing polychondritis. Review of literature and report of nine cases[J]. Auris Nasus Larynx, 2006, 33(2):135 --141.
  • 10Tsuda T, Nakajima A, Baba S, et al. A case of relapsing polychondritis with bilateral sensorineural hearing loss and perforation of the nasal septum at the onset[J]. Mod Rheumatol, 2007, 17(2): 148--152.

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