POEMS综合征是一种罕见的单克隆浆细胞疾病,其临床特征为多发性神经病、脏器肿大、内分泌病变、单克隆免疫球蛋白血症以及皮肤改变。腹泻症状在POEMS综合征中并不常见。我们报告了一例以腹泻为主要表现的复发性POEMS综合征患者的病例。...POEMS综合征是一种罕见的单克隆浆细胞疾病,其临床特征为多发性神经病、脏器肿大、内分泌病变、单克隆免疫球蛋白血症以及皮肤改变。腹泻症状在POEMS综合征中并不常见。我们报告了一例以腹泻为主要表现的复发性POEMS综合征患者的病例。该患者接受了多次胃镜检查和息肉切除术,但症状并未改善。随后的免疫固定电泳显示存在IgA-λ型M蛋白条带,且血管内皮生长因子升高,提示可能存在POEMS综合征复发。腹泻作为POEMS综合征罕见且不典型的症状,给POEMS综合征复发的诊断带来了重大挑战。全面评估和管理对于POEMS综合征及早诊断及改善预后具有重要作用。POEMS syndrome is a rare monoclonal plasma cell disorder characterized by polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, and skin changes. Diarrhea is an uncommon manifestation in POEMS syndrome. We report a case of recurrent POEMS syndrome presenting predominantly with diarrhea. The patient underwent multiple gastroscopies and polypectomies without symptomatic improvement. Subsequent immunofixation electrophoresis revealed an IgA-λ monoclonal protein band, and elevated vascular endothelial growth factor (VEGF) levels suggested potential disease recurrence. Diarrhea, as a rare and atypical symptom of POEMS syndrome, posed significant diagnostic challenges in identifying disease relapse. Comprehensive evaluation and management are critical for early diagnosis and improving prognosis in POEMS syndrome.展开更多
This paper focuses on the connection between the Flourishing Tang Features and Li Bai’s landscape poems,exploring their interactive relationship from three main dimensions.Firstly,the Flourishing Tang Dynasty,charact...This paper focuses on the connection between the Flourishing Tang Features and Li Bai’s landscape poems,exploring their interactive relationship from three main dimensions.Firstly,the Flourishing Tang Dynasty,characterized by political stability,economic prosperity,and cultural openness,nourished Li Bai’s landscape poems.Geographically,the expanded territory and smooth transportation broadened his creative vision,enabling his works to break away from the narrow local landscape and present a cosmic perspective covering landscapes like the Yellow River,Yangtze River,and Tianshan Mountains;spiritually,the era’s emphasis on active engagement in society shaped the core of his poems,transforming landscape writing from a tool for seclusion to a medium for expressing lofty aspirations.Secondly,Li Bai’s landscape poems projected the Flourishing Tang Features:Grand landscape images echoed the dynasty’s vast territory and national confidence;free artistic conceptions reflected the dynasty’s cultural inclusiveness and ideological emancipation;the integration of landscapes with ideals manifested the scholars’commitment to serving the country.Finally,the two achieved spiritual interaction:In spatial terms,the dynasty’s vast territory aligned with Li Bai’s broad spatial vision;in values,the era’s balance between engagement and freedom matched his combination of wandering and ambition;in spirit,the dynasty’s confidence resonated with his heroic and free emotions.In summary,the Flourishing Tang Features provided a creative foundation for Li Bai,while his landscape poems materialized and spread the Tang spirit,jointly forming a unique cultural legacy of the Tang Dynasty.展开更多
E.E. Cummings＇ poems are popular for the whimsical form. This paper, taking his dual identity-both a poet and a painter-as a starting point, is making an analysis of his poem-picture and the relationship between his ...E.E. Cummings＇ poems are popular for the whimsical form. This paper, taking his dual identity-both a poet and a painter-as a starting point, is making an analysis of his poem-picture and the relationship between his poems and the concrete poem, and illustrating the main features of the whimsical form. It is the vivid images and the mood of picture that contribute to his poems the whimsical form.展开更多
文摘POEMS综合征是一种罕见的单克隆浆细胞疾病,其临床特征为多发性神经病、脏器肿大、内分泌病变、单克隆免疫球蛋白血症以及皮肤改变。腹泻症状在POEMS综合征中并不常见。我们报告了一例以腹泻为主要表现的复发性POEMS综合征患者的病例。该患者接受了多次胃镜检查和息肉切除术,但症状并未改善。随后的免疫固定电泳显示存在IgA-λ型M蛋白条带,且血管内皮生长因子升高,提示可能存在POEMS综合征复发。腹泻作为POEMS综合征罕见且不典型的症状,给POEMS综合征复发的诊断带来了重大挑战。全面评估和管理对于POEMS综合征及早诊断及改善预后具有重要作用。POEMS syndrome is a rare monoclonal plasma cell disorder characterized by polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, and skin changes. Diarrhea is an uncommon manifestation in POEMS syndrome. We report a case of recurrent POEMS syndrome presenting predominantly with diarrhea. The patient underwent multiple gastroscopies and polypectomies without symptomatic improvement. Subsequent immunofixation electrophoresis revealed an IgA-λ monoclonal protein band, and elevated vascular endothelial growth factor (VEGF) levels suggested potential disease recurrence. Diarrhea, as a rare and atypical symptom of POEMS syndrome, posed significant diagnostic challenges in identifying disease relapse. Comprehensive evaluation and management are critical for early diagnosis and improving prognosis in POEMS syndrome.
基金supported by the projects:Guangxi Philosophy and Social Sciences Research Projects:“A Study on the Imagery System of Yuexi Poetry Collection and the Mechanism of Generating Ecological Beauty Signs of Charming Scenery in Guangxi”,and Wuzhou University Education and Teaching Reform Projects:“Research on Innovative Teaching Mode and Evaluation of‘Poetry and Ritual Interaction’Under the Background of Skill and Emotional Deficiency(Wyjg2022A033)”“Research on Improving the Quality of Ancient Literature Curriculum Centered on Student Cognitive Ladder(Wyjg2023B016)”“Research on Innovative Integration of Information Technology and Ancient Literature Curriculum Under the Goal of New Literature Construction(Wyjg2024A018)”.
文摘This paper focuses on the connection between the Flourishing Tang Features and Li Bai’s landscape poems,exploring their interactive relationship from three main dimensions.Firstly,the Flourishing Tang Dynasty,characterized by political stability,economic prosperity,and cultural openness,nourished Li Bai’s landscape poems.Geographically,the expanded territory and smooth transportation broadened his creative vision,enabling his works to break away from the narrow local landscape and present a cosmic perspective covering landscapes like the Yellow River,Yangtze River,and Tianshan Mountains;spiritually,the era’s emphasis on active engagement in society shaped the core of his poems,transforming landscape writing from a tool for seclusion to a medium for expressing lofty aspirations.Secondly,Li Bai’s landscape poems projected the Flourishing Tang Features:Grand landscape images echoed the dynasty’s vast territory and national confidence;free artistic conceptions reflected the dynasty’s cultural inclusiveness and ideological emancipation;the integration of landscapes with ideals manifested the scholars’commitment to serving the country.Finally,the two achieved spiritual interaction:In spatial terms,the dynasty’s vast territory aligned with Li Bai’s broad spatial vision;in values,the era’s balance between engagement and freedom matched his combination of wandering and ambition;in spirit,the dynasty’s confidence resonated with his heroic and free emotions.In summary,the Flourishing Tang Features provided a creative foundation for Li Bai,while his landscape poems materialized and spread the Tang spirit,jointly forming a unique cultural legacy of the Tang Dynasty.
文摘E.E. Cummings＇ poems are popular for the whimsical form. This paper, taking his dual identity-both a poet and a painter-as a starting point, is making an analysis of his poem-picture and the relationship between his poems and the concrete poem, and illustrating the main features of the whimsical form. It is the vivid images and the mood of picture that contribute to his poems the whimsical form.
