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Primary systemic amyloidosis: a report of one case
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摘要:
<正>1病例资料女性患者,65岁,3 a前无明显诱因出现下肢乏力,偶有心慌,活动后加重,未诊治。1 a前发现剑突下肿物,5个月前出现全身乏力,肋弓下可触及肿物,于当地医院未明确诊断,给予治疗后效果不佳。40 d前乏力加重,影响日常生活,于2013年3月就诊于吉林大学第一医院。病程中伴有口干、眼干、全身皮肤瘙痒,偶伴鼻衄,尿黄如豆油,近4 a体质量下降约20 kg。既往
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Key words:
- amyloidosis /
- biopsy, needle /
- case reports
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[1]DESAI HV, ARONOW WS, PETERSON SJ, et al.Cardiac amyloidosis:approaches to diagnosis and management[J].Cardiol Bey, 2010, 18 (1) :1-11. [2]IKEDA S.Diagnosis and treatment in systemic amyloidosis[J].Rinsho Byori, 2008, 56 (2) :121-129. [3]LIN J, DUAN Y, WU YJ.Diagnosis and treatment of primary systemic amyloidosis[J].Chin J Hematol, 2003, 24 (6) :335-336. (in Chinese) 林洁, 段云, 武永吉.原发性系统性淀粉样变性的诊断及治疗[J].中华血液学杂志, 2003, 24 (6) :335-336. [4]HU YL, PAN Y, XIN GJ, et al.Clinical diagnosis of patients with hepatic amyloid degeneration[J].J Clin Hepatol, 2010, 26 (1) :65-66. (in Chinese) 胡玉琳, 潘煜, 辛桂杰.4例肝淀粉样变性的临床特点和分析[J].临床肝胆病杂志, 2010, 26 (1) :65-66. [5]LAO MX, WANG JH, CHEN J, et al.One case report of hepatic amycoidosis with severe cholestasis and corneal K-F ring[J].Chin J Pract Intern Med, 2012, 32 (9) :721-723. (in Chinese) 劳敏曦, 王锦辉, 陈洁, 等.肝淀粉样变性合并重度淤胆及角膜K-F环1例报告并文献复习[J].中国实用内科杂志, 2012, 32 (9) :721-723. [6] LU J, WANG H, HUANG XJ.Curative effect observation of patients with primary systemic amyloidosis treated by the combination of bortezomib with dexmethasone and cyclophosphamide[J].Chin J Hematol, 2013, 34 (4) :345-348. (in Chinese) 路瑾, 王辉, 黄晓军.硼替佐米联合地塞米松、环磷酰胺治疗原发性系统性淀粉样变性疗效观察[J].中华血液学杂志, 2013, 34 (4) :345-348. -
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