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本文报告因食用带鱼及其炸带鱼的油后引起罕见的变态反应性血管炎急性脑血管病一例,本例误诊多年,曾按抗炎、抗痨、抗肿瘤治疗均无效。此次因吃炸带鱼的油后再次发病,而且与前次发作时症状相同,考虑有变态反应性血管炎的可能,试用抗过敏或抑制免疫的药物治疗,如地塞米松等,收到显著效果,通过长期观察和治疗,可以确定为变态反应性肉芽肿性血管炎。复习文献略加讨论,并与有关疾病进行鉴别。
This article reports a case of acute cerebrovascular disease that causes rare allergic vasculitis caused by consumption of octopus and its entrails. This example has been misdiagnosed for many years and has been ineffective in anti-inflammatory, anti-asthmatic and antitumor therapy. This time because of eating fried seaweed oil again after the onset of disease, and the same as the symptoms of the previous attack, consider the possibility of allergic vasculitis, anti-allergy or immunosuppressive drug treatment trial, such as dexamethasone, received significant Effect, through long-term observation and treatment, can be identified as allergic granulomatous vasculitis. Review the literature a little discussion, and identification of the disease.