The differential diagnosis of scleroderma

Connective tissue disease involving the gastrointestinal tract have scleroderma, systemic lupus erythematosus, nodular more arteritis, dermatomyositis, such as rheumatoid arthritis, scleroderma to the most prominent. This article introduces scleroderma caused the differential diagnosis. A) limitations to be scleroderma and all of the following identification. 1. Grouper shrinking early damage to large and small, with skin color or Qing Baise, Weiao or uplift, surface appearance, not inconsistent with the hardware. 2. Atrophic lesions hardening of the moss to light purple shiny flat papules, large and small, often gathered distribution, but not each other integration, the surface of hair follicles horny bolt and sometimes blisters, a skin gradually shrinking. (B) systemic sclerosis and takes all of the following identification. 1. Swelling of adult hard: more from the head and neck skin lesions began to Shoulder of the development of deep dermis swelling and stiffness. Local non-pigmentation, hair loss or shrinkage and performance, self-healing tendencies. 2. Mixed connective tissue disease: patients with systemic lupus erythematosus, scleroderma, and polymyositis dermatomyositis or disease, such as the mixed performance, including Raynaud's phenomenon, the face, swelling of the hands of non-depression, with sausage fingers - Swelling, fever, non-destructive and more arthritis, muscle pain or symptoms of myasthenia gravis. Leaching of nuclear antigen (ENA) and the RNP can be a high antibody titers positive.

How to prevent occurrence of chronic renal failure »

Various causes of chronic kidney disease, often do not show sexual reversible kidney damage, until the developed end-stage renal failure. Thus the early prevention of chronic renal failure in the importance of the so-called early prevention, also known as the "primary prevention", is in chronic renal failure occurred before the relevant factors and treatment intervention, specifically including the following: (1) positive for the incidence of various acute and chronic glomerulonephritis, lupus nephritis, Purpura nephritis, or kidney disease may be involved (such as hypertension, diabetes) aggressive treatment to prevent the occurrence of chronic renal failure . (2) avoid or eliminate certain risk factors toxic to the kidneys of the drug, serious infections, dehydration, urinary tract obstruction (such as stones, prostatic hypertrophy), trauma and other factors, can often add to the original kidney disease, renal Deteriorate, to renal failure occurred. In fact, regular, high-quality follow-up, can reduce or avoid these risk factors occur, or early identified and corrected. (3) a reasonable programme of low-protein diet, low-phosphorus and low-fat diet, chronic kidney disease on the renal protective effect has been received and clinical laboratory confirmed. The current emphasis in order to prevent the occurrence of chronic renal failure, blood muscle drunk in the 159.1-Moore / or when they should limit intake of protein. (4) of angiotensin converting enzyme inhibitors can not only control of systemic hypertension, but also to correct glomerular high perfusion, high filtration, and a delay kidney failure in the role. Clinical drug commonly used for captopril, and Luoding new pressure for profits, and so on.

How early detection of renal failure, uremia

When people because of illness or routine medical examination, suddenly found themselves suffering from uremia, often feel that this is "impossible", "does not apply in advance did not feel ah," how all of a sudden it became a uremia » In fact, renal failure, uremia not formed overnight, it is the role of various pathogenic factors of long-term results. The study, the lack of sensory nerve kidney, patients suffering from kidney after often feel everything is normal. So, when a severe anemia, nausea, vomiting and other symptoms, the patient lives have been at risk. Although the kidney is more secretive process of development, but in early renal failure, or the body will issue a warning signal, at this time if the patients can receive timely examination and treatment, and more can greatly control kidney disease, with a view to achieve the "no-first disease "Even if had been confirmed suffering from kidney. We propose the following renal failure early warning signals, we should attach great importance to and carefully observed: First, sleepiness, fatigue, looking yellowed, poor appetite. These are the prevalence of early performance, almost 100 percent of patients will experience and also the most vulnerable people ignore the performance, when this happens, people often linked to fatigue in neglected clinics. In such a situation, we should always ask "why other people do not like that» " Therefore, when there is burnout weakness, or of unknown causes anemia, poor appetite, we must keep to the hospital for an examination of renal function. Second, high blood pressure. Because the kidneys are ranked sodium, drainage function, impaired renal function will happen when the body of sodium and water has to stay, and, at this time will kidney secretion of some of the material or hypertension. Therefore, early uremia patients will be 90 per cent of performance for hypertension. In addition, if hypertension clotting mechanisms poor Yizhi epistaxis or gingival bleeding, to draw attention. For arteriosclerosis, hypertension, rheumatoid arthritis, diabetes, hyperuricemia, Sjogren's syndrome and other diseases, it is necessary to promptly detect kidney function indicators. Third, more nocturnal enuresis. The performance of renal failure early, with very high specificity, for the performance of the night frequency of urination, urine, thirst and with the performance. 4, edema, urine change. This is a relatively easy aware of the phenomenon, but also the advanced symptoms of renal failure. Is not because of the kidney in removing excess water caused by the body fluid retention in the organization space, the only early in the ankle and swelling of the eyelid, and then to the continued development of systemic or swelling. So at this time to visit immediately. To sum up, if we can pay attention to details more than physical changes in a timely manner to the general hospital or specialist treatment can be done "as early as prevention, early investigation, as early as governance," will significantly reduce the incidence of uremia, the benefit of mankind Health and family happiness!