POMES综合征误诊为肝硬化1例
Misdiagnosis of POEMS syndrome as liver cirrhosis:a case report
李敏 1杨世英 1高晓琴 1成娟 2谷有全 3张立婷1
作者信息
- 1. 兰州大学第一医院 肝病科,甘肃 兰州 730000
- 2. 兰州大学第一医院 血液科,甘肃 兰州 730000
- 3. 兰州大学第一医院 神经内科,甘肃 兰州 730000
- 折叠
摘要
POMES综合征是一种罕见的累及神经、血液、内分泌、皮肤、浆膜腔等多系统损害的综合征,临床表现多样,存在一定的临床异质性,加之临床医生对本病缺乏必要的认识,易被误诊、漏诊.本文报道1例因脾大、腹水、食管胃底静脉曲张误诊为肝硬化的POMES综合征,随访资料完整,通过对该病例诊治过程的分析,以期提高临床医师对该病的认识,避免误诊、漏诊,做到早诊断、早治疗.
Abstract
POMES syndrome is a rare syndrome involving nerve,blood,endocrine,skin,serous cavity and other multi-system damage.On account of the various clinical manifestations and heterogeneity,coupled with the lack of necessary understanding of the disease by clinicians,it is easy to be misdiagnosed and missed diagnosis.This paper reported a case of POMES syndrome misdiagnosed as liver cirrhosis due to spleen enlargement,ascites,esophageal and gastric varices.The follow-up data was complete.It is hoped to improve clinicians'understanding of POMES syndrome through the analysis of the diagnosis of this case,so as to avoid misdiagnosis and missed diagnosis,and achieve early diagnosis and treatment.
关键词
肝硬化/误诊/POMES综合征Key words
Liver cirrhosis/Misdiagnose/POMES syndrome引用本文复制引用
基金项目
2022年甘肃省教育科技创新项目(2022B-004)
2021年兰州大学第一医院院内基金(ldyyyn2021-9)
2022年甘肃省省级科技计划(重点研发计划)项目(22YF7FA085)
出版年
2024
NETL
NSTL
万方数据