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男子被怪病折磨8年不能确诊

2017-09-20 08:02:08   中国青年网

本报讯(记者刘璇 通讯员严睿 关军)8年来,赵先生反复进出医院,始终未能查出自己得的“怪病”。半个月前,武汉市第一医院血液内科医生“揪”出罪魁祸首:这是一种叫“IgG4相关性疾病”的自身免疫性疾病,非常少见。

赵先生今年60岁,8年前他左眼睑下垂去看医生,怀疑是泪腺脱垂,做了切除手术。随后的4年里,他反复因眼睑下垂做了4次手术。之后又开始反复咳嗽胸痛,医生怀疑是肺癌,PET检查也没有找到肿瘤,却发现全身淋巴结肿大。

这些年,赵先生饱受咳嗽、胸背痛和眼干折磨,做遍了检查,始终无法确诊。今年以来,赵先生的症状越来越严重,频频发烧气喘。9月初,他被家人送到市一医院,医生发现他全身多处淋巴结肿大,转入血液内科。

细心的邹亮医生怀疑是血液里的IgG4在作怪。在他的建议下,赵先生借出8年前眼科活检资料,针对性做了血清检查,最终证实邹医生的推断:IgG4相关性疾病。

邹亮告诉记者,这是一种自身免疫性疾病,2010年全球首次发现该病种,截至目前,科里只碰到过四五例这样的病人。这种病发病隐匿,患者往往是因为炎症就医,影像学上极易与肿瘤混淆,造成漏诊误诊。

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