Polymyositis with digital ischemia and acute renal injury:a case report

<正>病例资料患者,68岁,男性,因发热2周,双上肢末梢疼痛、颜色变化伴血肌酐(Scr)升高10d入院。患者2019年3月出现发热,体温最高达39.0℃,伴有上腹部疼痛,外院诊断为"胆囊炎",给予莫西沙星抗感染治疗3d后症状改善。10余天前出现双上肢末端手指遇冷后疼痛,伴苍白-发绀-潮红样颜色改变,双上肢近端肌肉疼痛,上举困难,查血常规示:Scr111.0μmol/L,丙氨酸转氨酶(ALT)91.4U/L,天冬氨酸转氨酶...

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Bibliographic Details
Main Authors: YOU Qing-qing, JIANG Wei-na, GAO Yan, SHAO Le-ping
Format: Article
Language:zho
Published: Editorial Department of Journal of Clinical Nephrology 2020-01-01
Series:Linchuang shenzangbing zazhi
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Online Access:http://www.lcszb.com/thesisDetails?columnId=57907492&Fpath=home&index=0
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Summary:<正>病例资料患者,68岁,男性,因发热2周,双上肢末梢疼痛、颜色变化伴血肌酐(Scr)升高10d入院。患者2019年3月出现发热,体温最高达39.0℃,伴有上腹部疼痛,外院诊断为"胆囊炎",给予莫西沙星抗感染治疗3d后症状改善。10余天前出现双上肢末端手指遇冷后疼痛,伴苍白-发绀-潮红样颜色改变,双上肢近端肌肉疼痛,上举困难,查血常规示:Scr111.0μmol/L,丙氨酸转氨酶(ALT)91.4U/L,天冬氨酸转氨酶
ISSN:1671-2390