The guy was hit by a basketball with a basketball, but as a result, I didn't even think of the doctor.

The 20 -year -old guy was hit by a basketball with a basketball, and he hit the disease.

A few years ago, there was a song, "I was hit by youth." It was nothing to be hit by youth, and I lamented, but the 20 -year -old guy was hit by a basketball and hit the disease.

People who are healthy are usually healthy, and they are hit by basketball when they play basketball. They are not a big injury to say, but the next day, the face and neck are swollen. As soon as it was checked, the inner vein of the neck and the dry veins of the head and arm had a thrombosis and blocked. The blood flow does not look back, so the face and neck are swollen.

To say that long thrombosis is a cause, suffering from trauma! But later thrombus continued, it became a problem.

At that time, I also invited a big -name expert consultation and did a lot of examinations. The indicators such as blood sink and C reactive protein increased the indicators of inflammation, and they were checked. Falin anticoagulation therapy. After half a year, the clogging veins were partially connected, and a part of the side branch cycle was opened to continue observation of the clinic.

It was not until 10 months later that the patient was retracted that the mystery was revealed in the seemingly accidental discovery

By the time of more than 9 months of the disease, the young man had low heat in the afternoon, so he returned to the hospital for review.

When the patient reviewed the hospitalization, he sent some folliculitis on his back. The doctor asked, saying it was often available in the past year. Next, the nurse found that the patient's blood pumping needle was bulging, red and pustules, which attracted the attention of the doctor. Because the skin becomes red after the needle (acupuncture), it is used as a small pustules. The doctor asked the medical history and asked the patient's repeated oral ulcers in the past five years, and was sent every month.

After the examination, the doctor was quickly diagnosed. The Baicai disease was also called the Baisai's signs, and it was also called "Behchet syndrome". That "acupuncture and reaction positive" is a specific manifestation of Baicai disease.

Baicai disease, now belongs to rheumatism, is abnormal in the body's autoimmune. That is, the immune system in his body mistakenly identifies his organizational organs as an enemy to attack, causing tissue organs to damage and disease. Lupus erythematosus, rheumatoid arthritis, leukemia, dry signs, etc., all belong to this type of disease. Later, the patient was also treated with corticosteroids, the condition was stable, and the thrombus was not caused.

To say that this patient has repeated oral ulcers, repeated skin damage such as folliculitis, positive manifestations of acupuncture and reaction, and vasculitis such as venous thrombosis. The diagnosis should not be difficult. Therefore, when this case was obtained from the whole hospital for discussion, the doctors of various specialties of maternals and children internal and external were diagnosed correctly. Dermatologists stood up and spoke as soon as they heard case abstracts.

But why was it misdiagnosed at the beginning? Including big -name experts

This is because of the complexity of clinical cases and restrictions on doctors' knowledge.

White congestion, everyone is familiar with the clinical clinic, is the three joints of the mouth, eye, and genitals, that is, the oral cavity, genital ulcer, and eyeitis of repeated attacks, as well as skin damage, such as repeated pustules, mules, etc. "Patriotic reaction positive" is the specific manifestation of this disease. Because everyone is very familiar with the "three joints", even if it is not a three -joint sign, there are repeated "oral ulcers", and they will also think of this disease, but once the "thrombosis" is first, it is rare, and it is easy to misdiagnose.

In fact, this disease is the root cause, which is vasculitis, which causes various damage caused by vasculitis. Since it is vasculitis, thrombosis should also be thought of. However, this disease mostly affects the micro blood vessels and affects the relatively few blood vessels. At the beginning, there are fewer thrombosis and it is easy to be misdiagnosed. Because at the beginning, I always think about common diseases and multiple illnesses, and rare cases are easily misdiagnosed. Of course, the level of knowledge is not comprehensive.

Xiehe Hospital has summarized 21 patients with damaged blood vessels in large and medium -sized diseased diseases. Except for 2 cases of deep venous thrombosis during the hospitalization, the remaining 19 cases were misdiagnosed in the outer hospital. 90.5 %. There are also experts who summarized 10 cases of leukemia combined with vascular lesions, and 10 cases were misdiagnosed with a misdiagnosis of 100%. After this case, when we see thrombosis patients in the future, we think that there is still the possibility of white plug disease.

The patient was not no trace at the beginning. Before the patient had thrombosis, there were more than 4 years more repeatedly developed oral ulcers. Before the onset of the disease, there were several months of skin repetitive erythema and folliculitis. When the first hospital was hospitalized With signs, it did not attract attention. Of course, this is also related to the doctor's medical knowledge and clinical experience.

Experts, also have special attacks in the surgery industry. To a certain extent, research is concentrated in a certain direction.

As a clinician, responsibility, medical knowledge, and clinical experience are indispensable.

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