"What illness?" Wang Dong's mother was stunned.
Was he really sick? Or was it something … he did not remember.
No way. Wang Dong complained about the pain every day and felt uncomfortable all over his body. However, he did not see anything wrong with him. He did not even have a cold or fever. He ate and drank as he should.
Impossible!
It was impossible …
"Boss, is Fabry disease the disease caused by a congenital deficiency of α-galactosidase A in the patient's body?" After Su Yun heard Zheng Ren's words, he also realized something. He carefully looked at the keratinoma on little Wang Dong's ear and thought hard.
This kind of disease was very rare. If it were not for Su Yun's encyclopedic knowledge, very few people would have known about it.
However, Su Yun read books for bragging at the wine table. He did not expect that he would really encounter such a patient one day.
"Yes, there's an angiokeratoma on the ear. This is a sign of the middle stage. I guess if we do a physical examination, we can see the vortex cornea in the eye. " Zheng Ren looked at Wang Dong's mother and asked patiently, "Can I take a look at Wang Dong's eyes?"
Seeing Zheng Ren's serious face, although there were some yellow bruises on his face that looked funny, Wang Dong's mother still believed him.
It was just a look at his eyes. In broad daylight, what was there to be afraid of?
She nodded and pressed her hands on Wang Dong's shoulders. She could exert strength at any time and hold the child in her arms.
Zheng Ren smiled and said, "Little brother, don't be nervous. I'll just lift your eyelids."
Su Yun was also curious. He recalled that the typical characteristic of Fabry disease was the vortex cornea in the eye.
With just a glance, he could be 80% sure.
He leaned in and saw Zheng Ren reach out and gently lift Wang Dong's eyelids. It was only for a moment before he put them down.
Before Wang Dong could react, and before Wang Dong's mother could let her imagination run wild, the physical examination was already over.
Of course, if he wanted a detailed examination, he would have to look at the patient's lower abdomen, thighs, and other places. There would be red or purplish-black angiokeratoma there. However, with the appearance of angiokeratoma on the ear, these places became much less important.
"It really looks like the eye of a storm." Su Yun saw it clearly and sighed.
The vortex cornea in the eye was turbid. If one looked closely, they would find that it was like the eye of a storm in the patient's cornea.
This was a very typical feature, different from ordinary corneal diseases.
"What's the matter?" Wang Dong's mother asked doubtfully.
"It should be Fabre's disease. Su Yun, do you have a pen and paper? "Zheng Ren asked.
Su Yun opened his arms, indicating that he did not bring anything with him.
"Chief Zheng, I brought these." Chang Yue took out a small pad and a pen from her bag and handed them to him.
Zheng Ren thought for a moment and wrote on the pad — Diagnosis: Fabry disease. A test for alpha-galactosidase is recommended. If there is a positive result, enzyme replacement therapy will be given.
After writing a line, Zheng Ren wrote the words' Department of Intervention, Zheng Ren 'at the bottom. He tore off the page and handed it to Wang Dong's mother.
"I've written down the diagnosis, the tests that should be done, and the treatment. Take this to the emergency department … or the department of rheumatology and immunology. "Zheng Ren smiled and left.
After handing the pad and pen to Chang Yue, they left.
Xie Yiren looked at Zheng Ren with sparkling eyes. In her opinion, Zheng Ren was really handsome at this time.
"Boss, did you diagnose it because of the angiokeratoma on the child's ear?" Su Yun still did not understand and asked.
"Fabry disease is often misdiagnosed as rheumatism, arthritis, growing pain, or psychogenic pain in the early stages. It's even thought that the patient is pretending to be sick. I heard from Wang Dong's mother that it has already happened many times, but the problem has not been found, "Zheng Ren said as he walked." So, I thought about it in a more likely way. "
"The angiokeratoma on the ear is a very typical feature, but it can't be diagnosed. In the end, we still had to look at the cornea to confirm it. "
Zheng Ren did not think much of it and said casually.
"Then why were you so sure before?" Su Yun was still puzzled.
"I'm not willing to confirm it. Wang Dong's mother can't let me see it either," Zheng Ren said casually.
"…" Su Yun was speechless. "What if the diagnosis is wrong?"
"It's just a look at the cornea. If it's wrong, then it's wrong. Would you care? If it's wrong, I'm just an ordinary passerby. By the way, I'm a doctor from the 912. "Zheng Ren looked at Su Yun with a serious expression.
"Uh …" This was the first time Su Yun had heard such nonsense from Zheng Ren's mouth.
Usually, Zheng Ren was simple and honest. He spoke and did things by the book. He had never seen him so slippery before.
However, Su Yun thought about it again. The situation just now was a chaotic crowd in the emergency department's pediatrics department. Zheng Ren really did not have any good ideas.
If it were him, things might be simpler.
Was there a human trafficker as handsome as him? With his looks, he could shock the world and make the gods cry. Wouldn't he earn more than a human trafficker if he did anything?
Yes, this was a world that valued appearances. The boss did this because he was an ordinary person who had no choice but to be forced.
Thinking of this, Su Yun felt relieved.
"I remember now. Fabry disease is because trihexosylceramide cannot be metabolized, so it accumulates in the lysosomes, causing various clinical symptoms. It's inherited from the X chromosome. Men are more seriously ill than women. " Su Yun thought about it for a long time and finally found traces of Fabry disease in his memory. He asked, "Boss, is the treatment effect of this disease good?"
"I don't know either. I've never seen it before," Zheng Ren said. "According to the introduction in the magazine, the treatment fee for enzyme replacement therapy shouldn't be very expensive."
"That's too tragic for such a young child." Chang Yue's sympathy was overflowing.
"You just have to understand it as diabetes. Injecting insulin every day won't affect anything. Moreover, it's even better than diabetes patients. At least you don't have to control your diet, "Zheng Ren explained from another angle.
When he said that there was no need to control his diet, Xie Yiren nodded repeatedly.
In her opinion, if she could not eat a lot, that kind of world would be really tragic.
After turning the corner of the emergency department, she could not see the crowd of people causing trouble in the emergency department's pediatrics department. She immediately felt like she had returned to the normal world and was much quieter.
"These people are really bold to cause trouble in the 912," Su Yun complained.
"It's very normal. A few days ago, when you weren't around, a patient's family member directly went to the inpatient department and said that there were still empty beds here. Why didn't they let him be hospitalized?" Chang Yue said. "The nurse told him that that was a bed reserved for soldiers."
"Then the patient's family started to make a scene?"
"It's not really a scene. Anyway, they cursed a lot," Chang Yue said. "I couldn't be bothered to listen, so I left."
。 m.
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