A case of chronic persistent perianal abscesses
A case of chronic persistent perianal abscesses
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慢性持续性肛周脓肿一例
DOI：
10.1111/ced.12003
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发表时间：
2013
影响因子：
4.1
通讯作者：
W. Tan
中科院分区：
文献类型：
--
作者：
L. Low;W. Tan
一位77岁的中国女性提出了一个10年的历史，持续疼痛肛周结节。她报告这些结节间歇性肿胀，伴脓性分泌物，口服抗生素后得到部分控制。没有相关的发热、下消化道症状或其他全身性问题。患者患有高血压和高血压病。没有相关的家族史。在体格检查中，在肛周区域看到多个肿胀的硬化结节，周围有色素沉着。有些结节渗出脓性分泌物。实验室检查发现轻度白细胞增多，红细胞沉降率显著升高至80 mm/h（正常范围0-20 mm/h）。从其中一个结节上取下穿刺活检。
A 77-year-old Chinese woman presented with a 10-year history of persistent painful perianal nodules. She reported intermittent swelling of these nodules, associated with a purulent discharge, which was partially controlled with courses of oral antibiotics. There was no associated fever, lower gastrointestinal symptoms or other systemic problems. The patient had hypertension and hyperlipidaemia. There was no relevant family history. On physical examination, multiple erythematous indurated nodules were seen in the perianal region, with a background of surrounding hyperpigmentation. Some of the nodules were exuding a purulent discharge. Laboratory investigations identified a mild leucocytosis, and the erythrocyte sedimentation rate was significantly raised at 80 mm ⁄ h (normal range 0–20 mm ⁄ h). A punch biopsy was taken from one of the nodules.