淋巴细胞性食道炎呈现与食品冲击的影响
Majd B Aboona1, Kelli Kosako Yost1, Paul Muńa Aguon2
1Department of Internal Medicine, University of Arizona College of Medicine, Phoenix, USA.
Cureus
|September 4, 2023
概括
淋巴细胞性食道炎 (LyE) 是一种罕见的食道疾病,可导致急性消化不良和狭窄. 用质子抑制剂 (PPI) 治疗可能会改善症状,这表明在乱症评估中应考虑LyE.
科学领域:
- 胃肠病学 胃肠病学
- 病理学 病理学 病理学
背景情况:
- 淋巴细胞性食道炎 (LyE) 是一种罕见的食道活检诊断,病因不明.
- 尽管LyE在15年前被描述,但由于其发病率较低,仍然令人费解.
研究的目的:
- 报告一种淋巴细胞食道炎的病例,呈现为急性消化不良和狭窄.
- 突出考虑LyE在食障碍的差异诊断中的重要性.
主要方法:
- 一个71岁的男性患有急性消化不良的病例报告.
- 诊断程序包括紧急内镜检查食物玻尿酸碎片和重复内镜.
- 食道活检证实了淋巴细胞食道炎.
主要成果:
- 由于食物受损,患者出现了急性消化不良.
- 内镜检查显示了狭窄,活检证实了LyE.
- 开始使用质子抑制剂 (PPI) 导致症状改善.
结论:
- 淋巴细胞性食道炎可以表现为食道狭窄和消化不良.
- 质子抑制剂治疗可能对LyE症状有益.
- 应将LyE纳入患有食障碍的患者的差异诊断.
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