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勒弗卢诺米德诱导的质结肠炎:一个病例报告和文献综述
Jamie O Yang1, Sarah Dry2, Guy A Weiss3
1UCLA Department of Internal Medicine, Los Angeles, CA, USA. joyang@mednet.ucla.edu.
Clinical journal of gastroenterology
|October 5, 2023
概括
风湿性关节炎药物莱夫隆诺米德可以引起质结肠炎,导致慢性腹. 停止服用药物通常会在几个月内缓解症状.
科学领域:
- 胃肠病学 胃肠病学
- 类风湿病学 类风湿病学
- 药理学 药理学是指药理学的学科.
背景情况:
- 类风湿性关节炎和哈希莫托甲状腺炎是自身免疫性疾病.
- 莱弗卢诺胺是一种免疫抑制疾病修饰性抗风湿药物 (DMARD),用于类风湿性关节炎.
研究的目的:
- 报告一个罕见的leflunomide诱导的质结肠炎病例.
- 突出诊断挑战和治疗结果.
主要方法:
- 一个患有类风湿性关节炎和哈希莫托甲状腺炎的病人的病例报告.
- 在 leflunomide 开始后,慢性腹的临床观察.
- 药物戒断后症状的评估.
主要成果:
- 患者在开始服用莱夫卢诺米德5年后出现慢性腹.
- 他被诊断出患有质结肠炎.
- 停用莱夫卢诺米德导致腹在2个月内完全消失.
结论:
- 勒弗鲁诺胺诱导的大肠炎是一种罕见但可能导致无法解释的慢性腹的原因.
- 由于症状发病迟到,诊断可能会延迟.
- 迅速停止使用药物对症状的缓解是有效的.
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