摘要
该文报道了1例53岁中年女性患者的临床资料.患者因头晕、乏力、恶心、呕吐3 d及腹泻入院.临床检查显示该患者有多种自身免疫性及非免疫性疾病,并伴多种并发症.主要疾病包括口腔念珠菌感染、1型糖尿病、桥本甲状腺炎甲状腺功能减退、中重度非节段型白癜风.同时发现患者患代谢综合征,包括高密度脂蛋白缺乏、高血压病1级(极高危组)及糖尿病性酮症酸中毒、糖尿病性周围神经病变、糖尿病性肾病(G2A1期)、糖尿病性周围血管病变.此外,该患者还患有低蛋白血症、锁骨下动脉斑块、颈总动脉斑块、抑郁状态和骨质疏松等多种并发症,患者被临床诊断为Ⅰ型自身免疫性多内分泌综合征.患者经住院期间综合治疗恢复良好,出院后继续服药.
Abstract
This paper reports the clinical data of a 53-year-old middle-aged female patient who was ad-mitted to the hospital with dizziness,fatigue,nausea,vomiting for 3 days and diarrhea.The Clinical examina-tion showed that the patient had a variety of autoimmune and non-immune manifestations,accompanied by a variety of complications.The main disease are oral candida infection,type Ⅰ diabetes,Hashimoto thyroiditis hypothyroidism,and moderate to severe non-segmental vitiligo.At the same time,it was found that the patient had metabolic syndrome,including high-density lipoprotein deficiency,hypertension grade 1(very high risk group)and diabetic ketoacidosis,diabetic peripheral neuropathy,diabetic nephropathy(stage G2A1),and dia-betic peripheral vasculopathy.In addition,the patient had multiple complications such as hypoproteinemia,subclavian artery plaque,common carotid artery plaque,depressive status,and osteoporosis,and was clinically diagnosed as type Ⅰ autoimmune polyendocrine syndrome.The patient recovered well after comprehensive treatment during hospitalization and continued to take medication after discharge.
基金项目
2021年兰州市卫生健康科技发展项目(2021014)
2020年兰州市科技发展指导性计划项目(2020-zd-115)
国家科技期刊平台
NSTL
万方数据