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首页> 外文期刊>The Internet Journal of Neurology >A young man with Iritis, Nephritis and Hepatitits
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A young man with Iritis, Nephritis and Hepatitits

机译：一个年轻人患有虹膜炎，肾炎和肝炎

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The association between sarcoidosis and vasculitis is not well documented in literature. This case report is one of the rare instances where both occur together. However the significance of this still needs to be understood. Vasculitis as a result of granulomatous inflammation caused by sarcoid has been documented where no other cause of vasculitis can be found.A 38 year old gentleman presented to the Princess Royal University Hospital in Bromley with swinging fevers and red eyes. Case Report A white Caucasian male came in with a 2 week history of lethargy, night sweats, reduced appetite and a non-productive cough. He was also complaining of pains in both his knees and his right wrist. Four days prior to his coming to hospital, he started feeling breathless unrelated to exertion and developed a red non-itchy rash over his face and neck. His past medical history was unremarkable. He had never been out of the country and did not have contact with TB. He did not have any urinary symptoms and his bowel movements were fine. He was married with a 6 year old healthy son and smoked about 10 cigarettes a day for 20 years. He also drank between 30 and 40 units of alcohol in a week. He was a plumber by profession and had a vague history of contact with sewage 2 weeks previously. The patient also denied high risk sexual activity, IV drug abuse, needle stick injury or any blood transfusions in the past.On examination, he looked unwell and had a temperature of 38^ C. He had injected conjunctivae bilaterally and an erythematous petechial non-blanching rash over his face and hands. There was no lymphadenopathy and he was not jaundiced or pale. His JVP was not raised and Blood pressure was 120/70. Heart rate was 80 per minute and heart sounds were normal. Chest was clear and abdomen examination showed a 2 cm smooth hepatomagaly with normal bowel sounds. The neurological examination was normal with downgoing plantars and normal reflexes. ECG showed Sinus rhythm at a rate of 80/min and Left axis deviation.
机译：结节病和血管炎之间的关联在文献中没有充分记载。该病例报告是很少一起发生的案例之一。但是，这的重要性仍然需要理解。有文献报道，由于结节样肉芽肿引起的肉芽肿性炎症而导致的血管炎没有其他原因引起的血管炎。一名38岁的绅士因发烧和红眼而被送往布罗姆利的皇家大学医院。病例报告白人白人男性进来，有2周嗜睡，盗汗，食欲不振和无生产性咳嗽的病史。他还抱怨膝盖和右手腕疼痛。住院四天前，他开始感到与劳累无关的呼吸困难，并在脸上和脖子上出现了红色的无痒疹子。他过去的病史并不明显。他从未出国，也没有与结核病接触。他没有尿路症状，肠蠕动良好。他已婚，育有一个6岁健康的儿子，每天吸烟约10支，持续20年。他每周还喝30至40单位酒精。他是一名管道工，两周前接触污水的历史不清。该患者过去也否认过高风险的性活动，静脉吸毒，针刺受伤或任何输血。检查时，他看起来不适，体温为38°C。他双侧结膜注射，非红斑性瘀斑他的脸和手发烫的皮疹。没有淋巴结肿大，他没有黄疸或面色苍白。他的JVP没有升高，血压为120/70。心率是每分钟80次，心音正常。胸部清晰，腹部检查显示2 cm光滑的肝恶性肿瘤，肠鸣音正常。神经系统检查正常，足底下降，反射正常。心电图以80 / min的速度显示窦性心律，左轴偏心。

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