切换至 "中华医学电子期刊资源库"

中华临床医师杂志(电子版) ›› 2025, Vol. 19 ›› Issue (07) : 555 -558. doi: 10.3877/cma.j.issn.1674-0785.2025.07.012

病例报告

类风湿血管炎合并冷球蛋白血症致足下垂一例
郭倩, 朱莎, 张巍, 徐婧, 石连杰()   
  1. 100144 北京,北京大学首钢医院风湿免疫科
  • 收稿日期:2025-06-17 出版日期:2025-07-30
  • 通信作者: 石连杰
  • 基金资助:
    北京大学首钢医院首颐医疗科技发展基金重点创新项目(SGYYZ202403)

Foot drop caused by rheumatoid vasculitis complicated with cryoglobulinemia: a case report

Qian Guo, Sha Zhu, Wei Zhang   

  • Received:2025-06-17 Published:2025-07-30
引用本文:

郭倩, 朱莎, 张巍, 徐婧, 石连杰. 类风湿血管炎合并冷球蛋白血症致足下垂一例[J/OL]. 中华临床医师杂志(电子版), 2025, 19(07): 555-558.

Qian Guo, Sha Zhu, Wei Zhang. Foot drop caused by rheumatoid vasculitis complicated with cryoglobulinemia: a case report[J/OL]. Chinese Journal of Clinicians(Electronic Edition), 2025, 19(07): 555-558.

图1 患者腓肠神经病理。图a为神经束衣小血管周围少量炎细胞浸润(红色箭头,HE×400);图b为髓鞘重度丢失(红色箭头,MEP×400);图c为轴索重度脱失,遗留空洞结构(红色箭头,Neurofilament×400);图d为髓鞘重度脱失,遗留空洞样以及轴索变性形成的草绿色均质样结构(红色箭头,LFB×400)
图2 患者双下肢皮疹。图a为入院次日皮疹较前加重;图b、c为甲泼尼龙200 mg静脉冲击治疗1 d后皮疹较前进一步加重
1
Mertz P, Wollenschlaeger C, Chasset F, et al. Rheumatoid vasculitis in 2023: changes and challenges since the biologics era[J]. Autoimmun Rev, 2023, 22(9): 103391.
2
Gwathmey KG, Satkowiak K. Peripheral nervous system manifestations of rheumatological diseases[J]. J Neurol Sci, 2021, 424: 117421.
3
Kishore S, Maher L, Majithia V. Rheumatoid vasculitis: a diminishing yet devastating menace[J]. Curr Rheumatol Rep, 2017, 19(7): 39.
4
Li Y, Jiang L, Zhang Z, et al. Clinical characteristics of rheumatoid arthritis patients with peripheral neuropathy and potential related risk factors[J]. Clin Rheumatol, 2019, 38(8): 2099-2107.
5
文春蓓, 杨洁, 罗利俊, 等. 类风湿血管炎性周围神经病3例临床特点分析并文献复习[J]. 中风与神经疾病杂志, 2022, 39(11): 1014-1018.
6
Makol A, Matteson EL, Warrington KJ. Rheumatoid vasculitis: an update[J]. Curr Opin Rheumatol, 2015, 27(1): 63-70.
7
Desbois AC, Cacoub P, Saadoun D. Cryoglobulinemia: An update in 2019[J]. Joint Bone Spine, 2019, 86(6): 707-713.
8
Moretti M, Ferro F, Baldini C, et al. Cryoglobulinemic vasculitis: a 2023 update[J]. Curr Opin Rheumatol, 2024, 36(1): 27-34.
9
Ragab G, Hussein MA. Vasculitic syndromes in hepatitis C virus: A review[J]. J Adv Res, 2017, 8(2): 99-111.
10
Brouet JC, Clauvel JP, Danon F, et al. Biologic and clinical significance of cryoglobulins. A report of 86 cases[J]. Am J Med, 1974, 57(5): 775-788.
11
Silva F, Pinto C, Barbosa A, et al. New insights in cryoglobulinemic vasculitis[J]. J Autoimmun, 2019, 105: 102313.
12
Beachy N, Satkowiak K, Gwathmey KG. Vasculitic neuropathies[J]. Semin Neurol, 2019, 39(5): 608-619.
13
Cacoub P, Vieira M, Saadoun D. Cryoglobulinemia-one name for two diseases[J]. N Engl J Med, 2024, 391(15): 1426-1439.
14
史玉媛. 类风湿关节炎合并类风湿血管炎12例临床分析[J].山西医科大学学报, 2011, 42(8): 662-663.
15
袁同玲, 赵毅, 张伶姝, 等. 32例冷球蛋白血症患者临床、血清学和病理学特点[J]. 科学技术与工程, 2020, 20(23): 9302-9307.
16
Scofield RH. Vasculitis in Sjögren's Syndrome[J]. Curr Rheumatol Rep, 2011, 13(6): 482-488.
17
Liampas A, Parperis K, Erotocritou MF, et al. Primary Sjögren syndrome-related peripheral neuropathy: A systematic review and meta-analysis[J]. Eur J Neurol, 2023, 30(1): 255-265.
18
Jin L, Liu Y. Clinical manifestations, pathogenesis, diagnosis and treatment of peripheral neuropathies in connective tissue diseases: more diverse and frequent in different subtypes than expected[J]. Diagnostics (Basel), 2021, 11(11): 1956.
19
Terrier B, Krastinova E, Marie I, et al. Management of noninfectious mixed cryoglobulinemia vasculitis: data from 242 cases included in the CryoVas survey[J]. Blood, 2012, 119(25): 5996-6004.
No related articles found!
阅读次数
全文


摘要


AI


AI小编
你好!我是《中华医学电子期刊资源库》AI小编,有什么可以帮您的吗?