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目的分析多发性对称性脂肪瘤病(MSL)合并神经系统损害的临床特点,提高对该病的认识。方法收集1例以急性脑梗死入院,最终诊断为MSL患者的临床资料,结合文献进行回顾性分析。结果患者以急性脑梗死入院,有大量饮酒史40年余,全身多发对称性脂肪瘤,特征性“仓鼠颊”外观,并合并高脂血症,慢性肝损害及巨幼细胞贫血,综合分析临床特点、详细查体及影像学检查,最终诊断为MSL。结论 MSL患者合并急性脑梗死十分罕见,易被漏诊、误诊,应引起临床医生重视。
Objective To analyze the clinical features of multiple symmetrical lipoma (MSL) combined with nervous system damage and to improve their understanding of the disease. Methods One patient admitted to hospital with acute cerebral infarction and finally diagnosed as MSL was retrospectively analyzed. Results The patients were admitted to hospital with acute cerebral infarction. They had a history of drinking for more than 40 years. They had systemic multiple symmetrical lipoma, characteristic hamster cheek appearance, combined with hyperlipidemia, chronic liver injury and megaloblastic anemia. Analysis of clinical features, detailed examination and imaging studies, the final diagnosis of MSL. Conclusion MSL patients with acute cerebral infarction is very rare, easily missed diagnosis, misdiagnosis should be caused by clinicians attention.