成年人非拓性欧西诺菲尔双胞胎炎:一个病例报告和概述
Davong D Phrathep1, Marc R Mohammed2, Andrew B Herson3
1College of Osteopathic Medicine, Lake Erie College of Osteopathic Medicine, Bradenton, USA.
这项案例研究突出了非托皮性个体呈现反复出现的腹部疼痛时的eosinophilic双胞胎炎. 通过组合疗法的成功治疗改善了症状和生活质量.
科学领域:
- 胃肠病学 胃肠病学
- 免疫学 免疫学 免疫学
背景情况:
- 乙性双胞胎炎是一种上部胃肠道炎症状况.
- 它通常与过敏反应和亚托皮性疾病有关.
- 在非托皮性个体中,反复出现的腹痛是一种不寻常的表现.
研究的目的:
- 在没有亚托皮病史的患者中报告一种罕见的乙酸双胞胎炎病例.
- 描述诊断过程和治疗结果.
- 强调及时诊断和管理的重要性.
主要方法:
- 消化管-胃管-腹腔镜检查 (EGD) 使用十二指管和胃管活检.
- 细胞内病理检查以检测乙酸细胞计数 (每高功率场的乙酸细胞 - - HPF).
- 皮肤刺探检测过敏. 皮肤刺探检测过敏.
- 药物治疗包括H2抑制剂,质子抑制剂和布索尼德.
主要成果:
- 一名62岁的男性出现了12个月的反复的腹部上部疼痛和6个月的意外体重减轻.
- 在EGD中,轻微的乙酸性双胞胎炎 (32个乙酸/HPF) 呈现出来,没有亚托皮病史或过敏.
- 12周使用H2抑制剂,PPI和布德索尼德治疗导致症状改善,体重增加和食欲改善.
结论:
- 易氨酸性十二指肠炎可能发生在非托皮性个体中,这会给诊断带来挑战.
- 综合治疗方法,包括抑制酸性和抗炎药物,可以有效.
- 及时诊断和适当的治疗对于改善患者的结果和生活质量至关重要.
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