十大冠名症候群

1. Goodpasture's syndrome

• The absence of antineutrophil cytoplasmic antibodies argues against a diagnosis of Wegener's granulomatosis, and the absence of anti–glomerular basement membrane antibodies argues against a diagnosis of Goodpasture's syndrome. "Anatomy of a Diagnosis"

2. Sjögren's syndrome

• In light of the association between Sjögren's syndrome and lymphoma, the 30-kg weight loss, and the mild lymphadenopathy, lymphoma should be ruled out. "A Fractured Diagnosis"

3. Churg-Strauss syndrome

• Although asthma itself rarely results in peripheral-blood eosinophil counts of more than 800 cells per cubic millimeter, a possibility is Churg–Strauss syndrome, a condition characterized by asthma, eosinophilia, and sinus disease. "The Writing on the Wall"

4. Cushing's syndrome

• The elevated glucose concentration is probably due to diabetes mellitus, but there could be competing causes of hyperglycemia, including Cushing's disease or Cushing's syndrome, pancreatic disease, pheochromocytoma, and any number of drugs. "A Square Peg in a Round Hole"

5. Ehlers-Danlos syndrome

• The Ehlers–Danlos syndrome or Marfan's syndrome is less likely because of the patient's relatively normal stature and the absence of joint hypermobility and heart murmur. "A Fragile Balance"

6. Behçet's syndrome

• Behcet's syndrome would explain many of the patient's signs and symptoms, but the absence of ocular lesions or genital ulcers makes this diagnosis less plausible. "Saved by a Test Result"

7. Miller-Fisher syndrome

• I remain concerned about the possibility of the Miller Fisher syndrome or botulism and would also consider myasthenia gravis. "The Eyes Have It"

8. Marfan's syndrome

• There are patients with a so-called forme fruste of Marfan's syndrome who may present with only the cardiac abnormalities. "The Heart of the Matter"

9. Budd-Chiari syndrome

• The development of worsening abdominal pain, diarrhea, and hematochezia suggests the occurrence of mesenteric venous insufficiency, again raising the possibility of the Budd–Chiari syndrome. "A Window of Opportunity"

10. Fanconi syndrome

• The presence of glycosuria and aminoaciduria would support the diagnosis of Fanconi's syndrome. "A Fractured Diagnosis"