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病例36-2017:一名出现疲劳、皮疹、贫血和血小板减少的30岁男性
Case 36-2017 — A 30-Year-Old Man with Fatigue, Rash, Anemia, and Thrombocytopenia


Gurpreet Dhaliwal ... 其他 • 2017.11.23

病例陈述


Amy E. Yuan医师(内科):一名30岁男性因疲劳、皮疹、发热、贫血和血小板减少,于夏季收入本院。

本次入院前3年,患者经历过一次机动车事故,致使胸部和脐部出现大片血肿。患者在另外一家医院接受了评估。静脉注射造影剂,对患者头部、颈椎、腹腔和盆腔进行计算机断层扫描(CT)。结果显示,前腹壁、左胁皮下组织和左侧腹膜后腔脂肪层出现条索影(图1)。据该院报告,此检查结果与软组织挫伤或出血相符。实验室检查结果见表1。患者出院回家。





作者信息

Gurpreet Dhaliwal, M.D., Amirkasra Mojtahed, M.D., Annemarie E. Fogerty, M.D., Stephan Kadauke, M.D., Ph.D., and Johnathan P. Mack, M.D.
From the Medical Service, San Francisco Veterans Affairs Medical Center, and the Department of Medicine, University of California San Francisco School of Medicine — both in San Francisco (G.D.); and the Departments of Radiology (A.M.), Medicine (A.E.F.), and Pathology (S.K., J.P.M.), Massachusetts General Hospital, and the Departments of Radiology (A.M.), Medicine (A.E.F.), and Pathology (S.K., J.P.M.), Harvard Medical School — both in Boston.

 

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