"What's the disease?" Wang Dong's mother was stunned.

Is it really sick? Or something...... I didn't remember the disease.

No, Wang Dong is yelling at pain every day, and his whole body is uncomfortable. But I didn't see anything wrong with him, he didn't even have a cold and fever, he should eat and drink.

No way!

Impossible, right......

"Boss, is Fabry disease the kind of disease caused by the congenital deficiency of α-galactosidase A in the patient's body?" Su Yun also realized something after listening to Zheng Ren's words, he carefully looked at the keratinoma on Xiao Wang Dong's ear, thinking hard.

This disease is very rare, if it weren't for Su Yun's knowledge, he glanced at any books and magazines, few people would know about it.

However, Su Yun read the book, it was for bragging on the wine table, and he didn't expect to meet this kind of patient one day.

"Well, I have an angiokeratoma on my ear, which is a medium-term manifestation. I guess if I had to do a physical examination, I could 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 yellowed bruises on his face, it looked funny, but Wang Dong's mother still believed him.

Just a glance at the eyes, in broad daylight, bright, what's there to be afraid of?

She nodded, pressed her hands on Wang Dong's shoulders, and could use force at any time to hold the child in her arms.

Zheng Ren smiled and said, "Little brother, don't be nervous, I'll roll your eyelids." ”

Su Yun was also curious, and he recalled that the typical feature of Fabry disease was the clouding of the vortex cornea of the eye.

At a glance, you can get 80% of the diagnosis.

When I came in, I saw Zheng Ren stretching out his hand, gently rolling up Wang Dong's eyelids, and in just an instant, he put it down.

Before Wang Dong could react, and before Wang Dong's mother could think nonsense, the physical examination was over.

Of course, if it is a detailed examination, it is necessary to look at the patient's lower abdomen, thighs, etc. There, there will be red or purplish-black angiokeratomas. However, there is a hemangiokeratoma on the ear, and these places have become much more secondary.

"It's like the eye of the storm. Su Yun saw it really and sighed with emotion.

If you look closely at the swirling cornea of the eye, you will find that it is like the eye of a storm, and it exists in the patient's cornea.

This is a typical feature and is not the same as a common corneal disease.

"Is there something wrong?" asked Wang Dong's mother, half-convinced.

"It should be Fabry disease. Su Yun, do you have a pen and paper?" Zheng Ren asked.

Su Yun stretched out his arms and signaled that he didn't have anything on him.

"Mr. Zheng, I brought it here. Chang Yue took out a small note pad from his bag, and a tube of pens, and handed them to Zheng Ren.

Zheng Ren thought about it for a while and wrote it down on a notepad - Diagnosis: Fabry disease. A α-galactosidase assay is recommended. If there is a positive return, enzyme replacement therapy is given.

After writing a line of words, Zheng Ren wrote the words "Interventional Department, Zheng Ren" at the bottom, tore off the page, and handed it to Wang Dong's mother.

"I wrote about the diagnosis, what tests should be done, and the treatment. You put this away and go to the emergency room...... Or go to the rheumatology and immunology department. Jung Ren smiled and turned to leave.

handed over the notepad and pen to Chang Yue, and a few people left.

Shay looked at Zheng Ren's eyes with a little bit of light, in her opinion, Zheng Ren was really handsome at this time.

"Boss, you were diagnosed because of the angiokeratoma on that child's ear?" Su Yun still didn't understand and asked.

"Fabry disease, in the early stages, is often misdiagnosed as rheumatism, arthritis, growing pains or psychogenic pain, and is even considered to be a fake illness. I listened to Wang Dong's mother's words, which meant that she had been sick many times, and she didn't find out the problem. Zheng Ren said as he walked, "So let's think about where it's possible." ”

"Angiokeratoma on the ear is a very typical feature, but it does not give a diagnosis. Didn't I finally look at the cornea, and that's why I was sure? ”

Zheng Renzhi didn't think anything, and said casually.

"Then you said that you were so sure. Su Yun was still puzzled.

"I'm not sure, and Wang Dong's mother can't let me see it. Zheng Ren said casually.

"......" Su Yun was speechless, "What if the diagnosis is wrong?"

"Just look at the cornea, it's wrong, it's wrong, do you care? No, I'm just an ordinary passerby. By the way, I'm the 912 doctor. Zheng Ren looked at Su Yun, serious.

"Uh......" This kind of unrelated words, Su Yun heard it from Zheng Ren's mouth for the first time.

Usually Zheng Ren is honest and honest, and he speaks and does things in a straightforward manner, and I have never seen him so slippery.

But Su Yun thought about it, the situation just now, the background was the crowd of people making trouble in the emergency pediatrics, and it was a mess, and Zheng Ren really didn't have any good way.

If it were me, things might be a little simpler.

Is there such a handsome trafficker as himself? Growing like this, crying ghosts and gods in the world, why don't you earn more than a trafficker?

Well, this is a world of face-seeing, and the boss does this, and it is also an ordinary person who has no way to be forced.

Thinking like this, Su Yun was relieved.

"I remembered that Fabry disease is a trihexosylceramide that cannot be metabolized, which accumulates in lysosomes, leading to various clinical symptoms. The X chromosome is inherited, and males are more severely ill than females. Su Yun thought about it for a long time, and finally found traces of Fabry disease in his memory, and asked, "Boss, is the treatment effect of this disease good?"

"I don't know, I haven't seen it. Zheng Ren said: "Looking at the magazine, the cost of enzyme replacement therapy should not be very expensive. ”

"That's miserable, such a young child. "Chang Yue's compassion is overflowing.

"It's good if you think of it as diabetes, insulin injections every day, it doesn't affect anything. And it's better than diabetics, at least you don't have to control your diet. Zheng Ren explained from a different angle.

As soon as he said that he didn't need to control his diet, Shay nodded again and again.

In her opinion, if you can't eat a lot, that kind of world is really miserable.

Turning the corner of the emergency department, I couldn't see the disturbing crowd in the emergency pediatrics, and I suddenly felt that I had returned to the normal world, and it was much quieter.

"In 912, these people are really bold enough. Su Yun complained.

"It's normal, when you weren't there a few days ago, a patient's family went directly to the inpatient department and said that there are still empty beds here, why don't you let you be hospitalized? Chang Yue said, "The nurse told him that it was a bed reserved for soldiers. ”

"And then the patient's family started to make a fuss?"

"It's not a fuss, anyway, I scolded and talked a lot. Chang Yue said: "I didn't bother to listen, so I left." ”

。 m.