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在健康的年轻成年人中发生疹食道炎
Koki Hosoda1, Naohiro Nakamura2, Ryo Suzuki1
1Third Department of Internal Medicine, Kansai Medical University, 2-5-1 Shin-Machi, Hirakata, Osaka, 573-1010, Japan.
Clinical journal of gastroenterology
|September 15, 2023
概括
疹性食道炎 (HE),健康成年人的罕见疾病,呈现为胸部疼痛在一个年轻的男性. 诊断依赖于内镜和血清学,使用瓦拉环的治疗是成功的,导致愈.
科学领域:
- 胃肠病学 胃肠病学
- 病毒学 病毒学
- 传染性疾病 传染性疾病
背景情况:
- 疹性食管炎 (HE) 通常在免疫功能低下的人群中观察到.
- 在健康的年轻人中,HE很少被记录在案,这使得这种情况值得注意.
研究的目的:
- 在健康的年轻成年人中报告罕见的疹性食道炎病例.
- 以突出诊断挑战和治疗结果的HE在这个人口.
主要方法:
- 一个28岁的男性胸痛的临床表现.
- 消化管胃管腺镜检查显示了食道.
- 对简单疹病毒 (HSV) IgM/IgG抗体进行血清检测.
- 消化管活检的组织病理学检查.
主要成果:
- 内镜检查结果显示,食道内有广泛的表面.
- 活检给出了对HE的不一致结果.
- 基于内镜和血清学数据建立了HE的临床诊断.
- 这位患者对瓦拉环维尔治疗有积极反应.
结论:
- 疹性食管炎可以发生在健康的年轻人中,表现为胸痛等症状.
- 诊断可能需要内镜可视化,血清学测试和临床怀疑的结合,特别是当活检没有明确结果时.
- 瓦拉基克洛维尔是这种患者群体中HE的有效治疗方法,导致食道的完全消失.
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