发热、多变的皮疹及消化道出血一例分析  

Fever,Variable Rashes,and Gastrointestinal Hemorrhage:a Case Analysis

作　　者：舒静[1] 何强[1] 陈芳[1] 莫鑫[1] SHU Jing;HE Qiang;CHEN Fang;MO Xin(NO.1 Integrated Ward of Department of Internal Medicine,Beijing Children's Hospital,Capital Medical University,National Center for Children's Health,Beijing 100045,China)

机构地区：[1]国家儿童医学中心首都医科大学附属北京儿童医院内科综合一病房

出　　处：《中国全科医学》2020年第8期985-988,共4页Chinese General Practice

摘　　要：白塞病是一种累及多系统、多器官的全身性疾病,基本病理改变为免疫复合物介导的血管炎,可以累及任何大小和类型的血管,临床表现多样而复杂,病情呈反复发作和缓解的交替过程,而实验室检查结果无特异性,早期诊断极其困难。儿童白塞病早期临床症状不典型,特异性强,病情可在短期内迅速进展。本文对1例白塞病患儿的病情演变、诊疗过程进行回顾分析,并进行相关文献复习,使临床医生提高对本病的认识,尽快正确诊断,以便早期开展疾病管理,防治急危重症。Behcet's disease is a systemic disease involving multiple systems and organs.The basic pathological manifestations are vasculitis mediated by the immune complex,which can involve any size and types of blood vessels with diverse and complicated clinical manifestations.The disease is characterized by an alternating process of repeated attacks and remission,while the laboratory results are non-specific and its early diagnosis is extremely difficult.Early clinical symptoms of Behcet's disease in children are atypical and heterogeneous,and the disease can progress rapidly in a short period of time.In this study,we retrospectively analyzed the evolution of a case of Behcet's disease and the process of its diagnosis and treatment,and reviewed the relevant literature,so that clinicians can further understand the disease and diagnose it correctly as soon as possible,so as to carry out early disease management and prevent critical illness.

关 键 词：贝赫切特综合征 儿童 皮疹 消化道出血 病例报告 

分 类 号：R773.9[医药卫生—眼科]