[Cellulitis, sepsis, acute renal failure and hemolytic anemia with McLeod blood group phenotype].
نویسندگان
چکیده
は じめに 赤血球 にKx抗 原がない稀 な血液型 をMcLeod 型 と呼び1),こ の表現型 を伴 う血液学的及び神経 学的異常 を示す伴性劣性遺伝疾患 をMcLeod症 候 群 と言 う.今 回我 々は,McLeod表 現血液型 を呈 した1例 を経験 したので報告する. 症 例 患者:48歳,男 性,会 社員.主 訴:腰 痛,右 膝痛.家 族歴:近 親婚 な し.既 往歴:数 年前の 献血の際,特 殊血液型 と言われ血液型登録 を勧 め られたが拒 否 した.現 病 歴:2000年2月19 日よ り腰痛 ・右膝痛 が出現 した.2月24日 当院 整形外科 を受診 し,鎮 痛薬 を処方 されたが改善 せず,3月3日 再診 した.両 頸部 ・右上下肢 に及 ぶ広範な蜂窩織炎 を認 め,整 形外科入院 となっ た.血 液検査上BUN 160mg/d1, Cr4.0mg/dlと 腎 不全のため,同 日当科 に転科 となった.入 院時 現症:身 長168cm,体 重76kg.体 温37.8°C.血 圧120/70mmHg.舌 は 乾 燥.頸 部 ・右 上 下 肢 は 腫 脹 し波 動 を 認 め た.心 音 は 純.呼 吸 音 正 常.
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ورودعنوان ژورنال:
- Nihon Naika Gakkai zasshi. The Journal of the Japanese Society of Internal Medicine
دوره 92 1 شماره
صفحات -
تاریخ انتشار 2003