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乳腺癌术后慢性荨麻疹未复发1例报道

于睿莉 杨波 卢学春 王学艳

解放军医学院学报2018,Vol.39Issue(1):82-84,3.
解放军医学院学报2018,Vol.39Issue(1):82-84,3.DOI:10.3969/j.issn.2095-5227.2018.01.022

乳腺癌术后慢性荨麻疹未复发1例报道

Chronic urticaria resolved after resection of invasive ductal breast carcinoma: A case report

于睿莉 1杨波 2卢学春 2王学艳1

作者信息

  • 1. 首都医科大学附属北京世纪坛医院 变态反应科, 北京 100038
  • 2. 解放军总医院 南楼血液科, 国家老年疾病临床医学研究中心, 北京 100853
  • 折叠

摘要

Abstract

Objective To introduce a case with 40-year chronic urticaria history, which was resolved after resection of invasive ductal breast carcinoma. Methods A patient with diffuse and refractory urticaria was diagnosed and treated in Beijing Shijitan Hospital affiliated to Capital Medical University on Dec. 2 2014. Medical record was retrospectively investigated and the related literatures were reviewed. Results The patient was a 65-year-old female, who had been suffering from repeated diffused wheals for more than40 years, and been aggravating for 4 years. She also had cough and wheeze for 1 year. Allergen tests showed that the patient was allergic to dermatophagoid mite, milk, peanut, wheat and shrimp. Diagnoses including chronic urticaria, bronchial asthma, occupying lesion of left breast, food anaphylaxis, hyperlipidemia and degenerative osteoarthropathy were established. Treatment was scheduled as avoiding wheat, shrimp, milk and peanut intake, and keeping food diary. Recurrent rash appeared after 21 months therapy with antihistamine. Occupying lesion of left breast was found 5 years ago. Mammography revealed one lesion in the patient's left breast with the infiltration to adjacent glands. Breast tumor resection was carried out in other hospital, and the pathological result was invasive ductal carcinoma which was consistent with the finding of mammography. Urticaria lesions disappeared after 2-cycles chemotherapy, without food taboos. Conclusion Breast cancer may contribute to the acute episode of chronic urticaria to a certain extent.

关键词

慢性荨麻疹/乳腺癌/变态反应

Key words

chronic urticaria/breast carcinoma/allergy

分类

医药卫生

引用本文复制引用

于睿莉,杨波,卢学春,王学艳..乳腺癌术后慢性荨麻疹未复发1例报道[J].解放军医学院学报,2018,39(1):82-84,3.

基金项目

北京市科委首都特色重点课题(Z161100000516006) (Z161100000516006)

解放军总医院临床科研扶持基金(2016FC-ZHCG-1004) Supported by Capital Characteristic Key Project of Beijing Municipal Science and Technology Commission (Z161100000516006) (2016FC-ZHCG-1004)

Clinical Support Foundation of Chinese PLA General Hospital (2016FC-ZHCG-1004) (2016FC-ZHCG-1004)

解放军医学院学报

OACSTPCD

2095-5227

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