文献简介

出版社:JAMA

作  者:

编  号:

关键字:OharaAivaz,MD;MaminaM.Turegano,MD;ArashRadfar,MD,PhD

年  份:2015   点击量:65

文献摘要 全文翻译

A man in his 60s presented to the emergency department for left flank pain of 1 week’s duration. His medical history included severe peripheral arterial disease and a remote history of ruptured abdominal aortic aneurysm. Three months before presentation, he underwent percutaneous endovascular stenting of a left popliteal artery aneurysm. Physical examination of the left flank showed a well-defined 5×12-cm purpuric patch with a darker stellate patch within it(Figure, A). Two punch biopsy specimens were obtained (Figure, B and C).

患者男性,60余岁,因左腹部持续疼痛一周而就诊急诊科。患者病史包括严重外周动脉疾病和久远腹主动脉瘤破裂史。3个月前,患者接受经皮血管内支架置入术治疗左腘动脉动脉瘤。体格检查发现左侧腹有一清晰的5×12 cm的紫癜斑块伴较暗星状斑块(图A)。获取了2个钻孔活检标本(图BC)。