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溃疡性结肠炎伴肠外表现1例
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Abstract:
炎症性肠病是以腹痛、腹泻、粘液脓血便为主要症状,包括溃疡性结肠炎和克罗恩病,还可出现肠外表现。当腹部症状与关节痛、皮疹同时发生,易被误诊为风湿免疫性疾病。现报道1例以腹痛、关节痛及皮疹为首发症状的IBD患者的诊治经过,以提高医务人员对该病的关注。
Inflammatory bowel disease is characterized by abdominal pain, diarrhea, mucus, pus, and bloody stools. It includes Ulcerative colitis and Crohn’s disease, and also has extraintestinal manifestations. When a patient have abdominal pain, arthralgia and rash symptoms, it is easy to be misdiagnoses as the Rheumatic immune diseases. This report is to raise the attention of clinicians to IBD.
[1] | 郭亚慧, 牛巍巍, 张晓岚. 炎症性肠病诊断与治疗的共识意见(2018年, 北京): 克罗恩病部分解读[J]. 临床荟萃, 2018, 33(12): 1077-1079. |
[2] | Baumgart, D.C. and Carding, S.R. (2007) Inflammatory Bowel Disease: Cause and Immunobiology. The Lancet, 369, 1627-1640. https://doi.org/10.1016/s0140-6736(07)60750-8 |
[3] | Wang, Y., Shi, W., Wang, J., Li, Y., Tian, Z. and Jiao, Y. (2022) Myocarditis as an Extraintestinal Manifestation of Ulcerative Colitis: A Case Report and Review of the Literature. World Journal of Clinical Cases, 10, 9750-9759. https://doi.org/10.12998/wjcc.v10.i27.9750 |
[4] | 李倩. 溃疡性结肠炎伴肠外表现临床回顾性分析[D]: [硕士学位论文]. 沈阳: 中国医科大学, 2021. |
[5] | 中华医学会消化病学分会炎症性肠病学组, 中国炎症性肠病诊疗质量控制评估中心. 中国溃疡性结肠炎诊治指南(2023年?西安) [J]. 中华炎性肠病杂志(中英文), 2024, 8(1): 33-58. |
[6] | 中华医学会消化病学分会炎症性肠病学组, 中国炎症性肠病诊疗质量控制评估中心. 中国克罗恩病诊治指南(2023年?广州) [J]. 中华炎性肠病杂志(中英文), 2024, 8(1): 2-32. |
[7] | 潘丹华, 郑洁. 溃疡性结肠炎内镜下活动度和病理特点相关性分析[J]. 山西医药杂志, 2024, 53(2): 83-86. |
[8] | 王莹, 李红玲, 李静如, 等. 内镜下多点活检鉴别诊断克罗恩病和溃疡性结肠炎的临床价值[J]. 中国现代医学杂志, 2022, 32(19): 32-37. |
[9] | 杨振兴, 吴慧, 刘挨师, 等. CTE和MRE对炎症性肠病的诊断价值及卫生经济学分析[J]. 临床放射学杂志, 2023, 42(7): 1159-1163. |
[10] | 钟英奎, 卢宝兰, 李雪华, 等. CT和MR肠道成像在克罗恩病中的应用与新进展[J]. 中华炎性肠病杂志(中英文), 2019, 3(4): 308-312. |
[11] | 何泽慧, 温红珠, 林江. IBDU诊治1例并文献回顾[J]. 现代医药卫生, 2021, 37(20): 3590-3594. |
[12] | Perez-Alamino, R., Maldonado-Ficco, H. and Maldonado-Cocco, J.A. (2015) Rheumatic Manifestations in Inflammatory Bowel Diseases: A Link between GI and Rheumatology. Clinical Rheumatology, 35, 291-296. https://doi.org/10.1007/s10067-015-3116-6 |
[13] | van Sommeren, S., Janse, M., Karjalainen, J., Fehrmann, R., Franke, L., Fu, J., et al. (2014) Extraintestinal Manifestations and Complications in Inflammatory Bowel Disease. Inflammatory Bowel Diseases, 20, 987-994. https://doi.org/10.1097/mib.0000000000000032 |
[14] | Parkes, M., Cortes, A., van Heel, D.A. and Brown, M.A. (2013) Genetic Insights into Common Pathways and Complex Relationships among Immune-Mediated Diseases. Nature Reviews Genetics, 14, 661-673. https://doi.org/10.1038/nrg3502 |
[15] | 童莲. 对炎症性肠病合并关节炎的临床观察及C反应蛋白对疾病活动度影响的相关研究[D]: [硕士学位论文]. 广州: 暨南大学, 2022. |
[16] | Raychaudhuri, S.P. and Deodhar, A. (2014) The Classification and Diagnostic Criteria of Ankylosing Spondylitis. Journal of Autoimmunity, 48, 128-133. https://doi.org/10.1016/j.jaut.2014.01.015 |
[17] | Finucci, A., Ditto, M.C., Parisi, S., Borrelli, R., Priora, M., Realmuto, C., et al. (2021) Rheumatic Manifestations in Inflammatory Bowel Disease. Minerva Gastroenterology, 67, 79-90. https://doi.org/10.23736/s2724-5985.20.02726-9 |
[18] | Atzeni, F., Defendenti, C., Ditto, M.C., Batticciotto, A., Ventura, D., Antivalle, M., et al. (2014) Rheumatic Manifestations in Inflammatory Bowel Disease. Autoimmunity Reviews, 13, 20-23. https://doi.org/10.1016/j.autrev.2013.06.006 |
[19] | Thrash, B., Patel, M., Shah, K.R., Boland, C.R. and Menter, A. (2013) Cutaneous Manifestations of Gastrointestinal Disease. Journal of the American Academy of Dermatology, 68, 211.E1-211.E33. https://doi.org/10.1016/j.jaad.2012.10.036 |
[20] | 李军, 牛占岳, 薛艳, 等. 重度溃疡性结肠炎合并卡波西肉瘤1例并文献综述[J]. 北京大学学报(医学版), 2020, 52(2): 373-377. |
[21] | Rothfuss, K.S., Stange, E.F. and Herrlinger, K.R. (2006) Extraintestinal Manifestations and Complications in Inflammatory Bowel Diseases. World Journal of Gastroenterology, 12, 4819-4831. https://doi.org/10.3748/wjg.v12.i30.4819 |