胰腺胰腺炎复查:一系列34名患者
Mireia Seguí1, Pedro Rodríguez-Jiménez1, Javier Fraga2
1Department of Dermatology, Hospital Universitario de La Princesa, Madrid, Spain.
Journal of cutaneous pathology
|August 22, 2023
概括
胰腺胰腺炎是一种与胰腺问题相关的罕见皮肤疾病,通常呈现为腿部的结节. 组织病理学,显示脂肪亡,是诊断的关键,而Splendore-Hoeppli现象是一个额外的指标.
科学领域:
- 皮肤病学 皮肤病学
- 胃肠病学 胃肠病学
- 病理学 病理学 病理学
背景情况:
- 胰腺胰腺炎是一种罕见的疾病,与胰腺炎或胰腺癌有关.
- 它表现为皮下结节,通常在下肢.
- 脂肪组织中的酶性脂肪亡是典型的本病理学发现.
研究的目的:
- 为了呈现胰腺胰腺炎的最大病例系列.
- 为了突出临床和组织病理学特征.
- 为了识别诊断线索.
主要方法:
- 五家医院的回顾性病例系列.
- 对皮肤病变的活检样本的审查.
- 从医疗记录中分析临床信息.
主要成果:
- 34例 (23名女性,11名男性),年龄在31至92岁之间.
- 由于胆结石 (17例) 的急性胰腺炎 (23例) 是最常见的.
- 组织病理学证实了带有脂肪亡的叶状炎;在9例病例中观察到Splendore-Hoeppli现象.
结论:
- 作为急性胰腺炎的原因,女性占主导地位和胆管化是值得注意的.
- 组织病理学发现,包括Splendore-Hoeppli现象,对于诊断至关重要.
相关概念视频
01:27Acute Pancreatitis I: Introduction
Pancreatitis is inflammation of the pancreas, an organ located behind the stomach. It can be either acute or chronic.
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
01:30Acute Pancreatitis II: Clinical Manifestations and Management
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
01:24Chronic Pancreatitis I: Introduction
The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
01:29Chronic Pancreatitis II: Collaborative Care
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
01:25Acute Pancreatitis I: Introduction
Acute pancreatitis is the sudden inflammation of the pancreas caused by the early activation of digestive enzymes, leading to the autodigestion of pancreatic tissue. This results in local inflammation and, in severe cases, systemic complications.EtiologyUnderstanding the underlying causes is crucial, as identifying the etiology guides treatment and anticipates complications. Acute pancreatitis can be triggered by various factors, typically grouped into the following clinical categories.Biliary...
01:25Chronic Pancreatitis I: Introduction
Chronic pancreatitis is a long-standing, relapsing inflammation of the pancreas, characterized by irreversible damage to the gland. It results in progressive destruction of the pancreatic parenchyma, fibrosis, and eventual loss of both exocrine and endocrine function. The disease may evolve gradually after multiple episodes of acute pancreatitis or develop independently.EtiologyChronic pancreatitis can arise from a variety of causes:Alcohol use is the leading cause, accounting for 70–80% of...