同时诊断SLE，嗜铬细胞瘤描述

（健康日）-A同时诊断系统性狼疮（SLE）和嗜铬细胞瘤，SLE消失在嗜铬细胞瘤治疗后，在线发布的编辑发布于5月6日国际风湿病杂志。

Vincenzo Bruzzese, M.D., from the Nuovo Regina Margherita Hospital in Rome, and colleagues report on the case of a 39-year-old woman with a history of hypertension who was rehospitalized for a second episode of pleuro-pericarditis in 2010. A right adrenal nodule was identified on abdominal computed tomography at that time. Positive antinuclear antibody (ANA) titer appeared in January 2013 and the patient was diagnosed with undifferentiated connective disease. The patient experienced widespread rash of urticaria followed by joint pain in the fingers, wrists, feet, ankles, and knees, with functional limitation later that year.

作者确定了肾上腺素和metanephrine的增加。它们证实了直径2.8厘米直径的右肾结节，在腹部磁共振成像上的Meta-碘苄基胍I 123 Scintigraphy上显示出强烈的超固化，指示噬菌体细胞瘤。患者接受了右肾上腺切除和噬菌体细胞瘤的诊断，确认了组织学检查。这血压关节疼痛缓解，抗核抗体消失。术后6个月，没有与SLE相关的临床或生化体征。

“当怀疑SLE时，始终建议评估交感神经系统的功能，特别是在患者中高血压作者写道。

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