一个病例报告 遗传性棕叶植物皮肤病与食道黑色素质病
Delvina Vincent Comraj1, Ayisha Zainab1, Manisha Arthur1
1Department of General Medicine, Sri Ramachandra Medical College and Research, Institue, Chennai, India.
Middle East journal of digestive diseases
|August 7, 2023
概括
一名患有糖尿病和棕叶角质炎的70岁老人经历了食障碍. 对Helicobacter pylori和心力衰竭的治疗解决了他的症状,但他需要对食道癌症风险进行监测.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 遗传学 遗传学 是一个
背景情况:
- 一名70岁的糖尿病男性出现了暗示食道恶性瘤的症状.
- 他一生都患有棕植物角质炎 (PPK),有类似的家族病史,这可能是遗传倾向的潜在指标.
- 患者还表现出心力衰竭和冠状动脉疾病的症状.
研究的目的:
- 在患有糖尿病和PPK的患者中调查食障碍和早期腹的原因.
- 为了排除食道恶性瘤.
- 评估Helicobacter pylori感染在患者胃肠道症状中的作用.
主要方法:
- 上部胃肠道胃镜检查与活检.
- 活检样本的组织病理学检查.
- 治疗Helicobacter pylori的根除和心血管疾病的管理.
主要成果:
- 胃镜检查显示了食道炎,食道黑色素和胃粘膜红斑.
- 组织病理学证实了反流性食道炎和慢性活跃的Helicobacter pylori胃炎.
- 没有发现恶性瘤的证据. 在H. pylori根除和心血管治疗后,症状有所改善.
结论:
- 患者的症状归因于反流性食道炎和H. pylori胃炎,而不是恶性瘤.
- 棕植物角质炎可能与食道癌的风险因素增加有关.
- 由于存在食道黑色素瘤或状细胞癌的危险因素,建议定期进行随访.
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