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首页> 中文期刊> 《中华风湿病学杂志》 >脂膜炎55例临床特点分析及文献复习

脂膜炎55例临床特点分析及文献复习

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摘要

Objective To improve the clinical understanding of the disease by retrospective analysing 55 cases of patients with panniculitis. Methods The hospitalized patients with panniculitis were collected from December 2011 to October 2018 in the Shanxi Dayi Hospital Affiliated to Shanxi Medical University. The demographics, clinical manifestations, laboratory examinations and treatments were analyzed and summarized, rate or composition ratio were applied for statistical description of the counting data. Results The proportion of males and females in the 55 patients was 1:2.23, with an average of (53±15) years (18-82 years). A total of 52 cases of nodular panniculitis (including 14 cases of mesenteric involvement) and 3 cases of special type of panniculitis were collected. Patients with nodular panniculitis were often presented with subcutaneous nodules or masses. According to the affected parts, they cowld be divided into skin sub-type and systemic sub-type. Among them, 32 cases were skin sub-type and 20 cases are systemic sub-type. The most frequently involved organs were mesenteric and kidney involvement. Nine of 55 patients was complicated with tumor. Patients with mesenteric panniculitis mainly presented with abdominal pain and bloating, which were mainly diagnosed according to CT findings. Patients with systemic panniculitis could be significantly relieved after treatment with coricosteroids and immunosuppressive agents. Conclusion Panniculitis is an inflammatory disease of unknown etiology. It is frequent in middle-aged and elderly people. It presents with various clinical manifestations and lacks specificity. The diagnosis is mainly based on pathological results. It is easy to be complicated with tumors. When subcutaneous nodules are found, pathological examination should be performed in order to avoid misdiagnosis.%目的 通过对55例脂膜炎患者的病历进行回顾性分析及文献复习,提高临床对该病的认识.方法 收集山西医科大学附属山西大医院2011年12月至2018年10月诊断为脂膜炎的住院患者病历,对其人口学、临床表现、辅助检查、治疗进行分析总结,计数资料用率或构成比进行统计学描述.结果 55例患者男性17例,女性38例(男女比例1:2.23),年龄18～82岁,平均(53±15)岁,共收集52例结节性脂膜炎(包括肠系膜受累14例),3例特殊类型脂膜炎.结节性脂膜炎患者多因发现皮下结节或肿物就诊,根据受累部位分为皮肤型和系统型,其中皮肤型32例,系统型20例,以肠系膜及肾脏受累最多见,其中合并肿瘤9例.肠系膜脂膜炎患者主要表现为腹痛、腹胀,主要依据CT确诊.脂膜炎系统型患者经激素及免疫抑制剂治疗后症状可明显缓解.结论 脂膜炎是一种病因不明的炎症性疾病,常见于中老年人,临床表现多样,缺乏特异性,诊断主要依据病理结果,易合并肿瘤,当发现皮下结节时应及时完善病理检查,以免漏诊误诊.

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  • 来源
    《中华风湿病学杂志》 |2019年第6期|378-381|共4页
  • 作者

    Zheng Hui; Li Rong; Che Guozhu; Zhang Liyun; Hao Huiqin;

  • 作者单位

    Department of Rheumatology and Immunology, Shanxi Dayi Hospital affiliated to Shanxi Medical University, Taiyuan 030001, China;

    Department of Rheumatology and Immunology, Shanxi Dayi Hospital affiliated to Shanxi Medical University, Taiyuan 030001, China;

    Department of Rheumatology and Immunology, Shanxi Dayi Hosptial, Taiyuan 030032, China;

    Department of Rheumatology and Immunology, Shanxi Dayi Hosptial, Taiyuan 030032, China;

    Shanxi University of Traditional Chinese Medicine, Jinzhong 030619, China;

  • 原文格式 PDF
  • 正文语种 chi
  • 中图分类
  • 关键词

    脂膜炎; 脂膜炎,结节性非化脓性; 脂膜炎,腹膜;

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