背景:肾上腺梗塞(AI)是一种罕见的肾上腺损害,这在系统性红斑狼疮中相对常见,抗磷脂抗体综合征(APS)和妊娠。AI的诊断主要通过计算机断层扫描(CT)和磁共振成像,但很容易与其他肾上腺疾病混淆。因此,这份报告详细介绍了系统性红斑狼疮的AI状况,APS并从影像学上做出了鉴别诊断。
方法:我们报告了一例55岁的女性,她的窝腋窝和腹股沟区疼痛。然后CT扫描显示双侧肾上腺疾病,病人被诊断为系统性红斑狼疮,附加自身免疫检查后的APS和AI。
方法:患者诊断为系统性红斑狼疮合并狼疮性肾炎,血液学损伤和门脑炎,APS,AI和继发性凝血障碍。
方法:患者接受甲基强的松龙治疗,羟氯喹和低分子肝素。
结果:患者在治疗1年后病情缓解并保持健康。
■AI可以分为出血性和非出血性,以双侧病变多见。在我们的案例中,人工智能是双边的,部分受累且非出血性,“截止符号”最早是在CT中提出的,这可能有助于诊断。
BACKGROUND: Adrenal infarction (AI) is a rare type of adrenal damage, which is relatively common in systemic lupus erythematosus, antiphospholipid antibody syndrome (APS) and pregnancy. The diagnosis of AI is mainly by computed tomography (CT) and magnetic resonance imaging, but is easily confused with other adrenal disease. Hence, this report details a condition of AI with systemic lupus erythematosus, APS and made a differential diagnosis from imaging.
METHODS: We report a case of a 55-year-old woman with pain in her fossa axillaries and inguinal regions. Then CT scan disclosed bilateral adrenal diseases, and the patient was diagnosed with systemic lupus erythematosus, APS and AI after additional autoimmune examinations.
METHODS: The patient was diagnosed as systemic lupus erythematosus with lupus nephritis, hematological damage and oromeningitis, APS, AI and secondary blood coagulation disorders.
METHODS: The patient was treated with methylprednisolone, hydroxychloroquine and low molecular heparin.
RESULTS: The patient relieves and remains well 1 year after treatment.
UNASSIGNED: AI can be divided hemorrhagic and non-hemorrhagic, with bilateral lesions more common. In our case, the AI was bilateral, partially involved and non-hemorrhagic, and the \"cutoff sign\" was first put forward in CT, which might assist the diagnosis.