与克罗恩病相关的气管支气管炎和喉炎
Shogo Nakai1, Moeko Morikawa1, Toshiya Hiramatsu1
1Division of Respiratory Medicine, Iwata City Hospital, 512-3, Ookubo, Iwata, Shizuoka, 438-8550, Japan.
Respiratory medicine case reports
|October 12, 2023
概括
本案例研究突出了一个罕见的克罗恩病 (CD) 影响上呼吸道的例子,特别是气管支气管炎和喉炎,以及疑似肺癌. 德克萨米他治疗对于这些异常的肠外表现是有效的.
科学领域:
- 胃肠病学 胃肠病学
- 肺部病理学 肺部病理学
- 病理学 病理学 病理学
背景情况:
- 克罗恩病 (CD) 是一种慢性炎症性疾病.
- 结核病的肠外表现 (EIM) 可以影响各种器官.
- 上呼吸道疾病 (UAD) 是不常见的CD的EIM.
研究的目的:
- 报告一种罕见的同时出现的气管支气管炎,喉炎和与克罗恩病相关的支气管病变的病例.
- 描述这些上呼吸道表现的临床,支气管和组织学发现.
- 评估德克萨米他在治疗这些CD相关的呼吸道问题的有效性.
主要方法:
- 一个68岁的老妇人的病例报告.
- 诊断评估包括支气管镜检查和组织学检查.
- 用德克萨米他作为化疗前期治疗的治疗.
主要成果:
- 这位患者出现了气管支气管炎和喉炎,最初被评估为肺癌.
- 支气管镜检查显示了上垂体胀,气管和支气管中的 edematous 和 nodular 变化.
- 组织学显示了淋巴细胞和血细胞透.
- 德克萨米他在控制呼吸道炎症方面有效.
结论:
- 同时出现的上呼吸道疾病和支气管病变是克罗恩病罕见的肠外表现.
- 支气管镜检查和组织学对于诊断至关重要.
- 德克萨米他可以作为这些症状的有效治疗方法.
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