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Strange symptoms in Sneddon's syndrome.

机译:Sneddon综合征的奇怪症状。

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摘要

A 34 year old woman was referred for evaluation of possible Sneddon's syndrome. She has longstanding livedo reticularis and Raynauds syndrome. Over the past 6 months, she developed increasing fatigue and her family felt she had become inattentive and uninterested in life. She frequently forgot what she was doing and has accidentally left entire meals on the stove to burn. Five months ago, an extensive neurologic evaluation was completely negative including an MRI and examination of cerebrospinal fluid. She has been treated for depression for the past 4 months with no improvement. An episode where she was found unresponsive prompted a repeat MRI which demonstrated multiple small white matter lesions, diffuse atrophy, and an acute infarct. Her past medical history is remarkable only for two miscarriages approximately 2 years ago. Her family history is negative with the exception of her mother having a similar skin condition.
机译:一名34岁的妇女被转介评估可能的Sneddon综合征。她患有长期的网状网纹和雷诺氏综合征。在过去的6个月中,她变得越来越疲劳,家人感到她对生活变得不专心,对生活毫无兴趣。她经常忘记自己在做什么,并且不小心将整顿饭留在炉子上燃烧。 5个月前,广泛的神经系统评估完全阴性,包括MRI和脑脊液检查。在过去的四个月中,她一直在接受抑郁症的治疗,但没有得到改善。发现她无反应的发作提示再次进行MRI检查,显示出多个小白质病变,弥漫性萎缩和急性梗塞。她过去的病史仅在大约2年前发生过两次流产才很显着。除了母亲的皮肤状况相似外,她的家族史均为阴性。

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