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现报告同胞姐妹患混合性结缔组织病(MixedConnective Tissue Disease,MCTD)2例如下。例1,女,31岁。1977年患溶血性贫血(HA)。3年后关节痛,手指僵硬肿胀,遇冷苍白,伴胸闷及夜间阵发性呼吸困难。多次住院诊断自身免疫性溶血性贫血和心肌病,强的松等药有效。父母为表亲结婚。体检:矮小,清瘦贫血貌,浅淋巴结肿大,肺(—),心界左下扩大,心率76次,律齐,心尖区Ⅲ级SM,P_2>A_2,肝肋下3cm,脾肋下1.5cm,四肢皮肤网状青斑及色素沉着。Hb35g/L,WBC7.6×10~9/L,N66%、
Two cases of mixed connective tissue disease (Mixed Connective Tissue Disease, MCTD) are reported below. Example 1, female, 31 years old. 1977 suffering from hemolytic anemia (HA). Arthritis pain after 3 years, stiff fingers swollen, cold pale, with chest tightness and paroxysmal nocturnal dyspnea. Repeated hospital diagnosis of autoimmune hemolytic anemia and cardiomyopathy, prednisone and other drugs effective. Parents marry cousins. Physical examination: short, thin an anemic appearance, superficial lymph nodes, lung (-), heart left lower enlargement, heart rate 76 times, law Qi, apical area grade SM, P_2> A_2, liver ribs 3cm, 1.5cm , Limbs, skin reticularis and pigmentation. Hb35g / L, WBC7.6 × 10 ~ 9 / L, N66%