由于克罗恩病引起的二次口腔面膜颗粒瘤
Rodrigo Meza1, Teresa Peralta2, Diego Ruedi3
1Dermatología, Pontificia Universidad Católica de Chile.
Revista espanola de enfermedades digestivas
|January 18, 2024
概括
一名克罗恩氏病患者在抗TNF失败后通过阿达利穆马布实现了缓解. 后来她出现了不寻常的,持续的唇部胀,这给诊断带来了挑战.
科学领域:
- 胃肠病学 胃肠病学
- 免疫学 免疫学 免疫学
- 皮肤病学 皮肤病学
背景情况:
- 克罗恩氏病 (CD) 管理通常涉及抗瘤坏死因子 (anti-TNF) 药物.
- 阿达利穆马布是一种常见的抗TNF疗法,用于CD维护和术后复发.
- 在长期免疫抑制治疗期间,可能会出现不寻常的副作用或并发症.
研究的目的:
- 介绍一个克罗恩氏病患者接受阿达利姆巴治疗的病例.
- 为了突出克罗恩病患者异常,持续的唇部胀.
- 讨论生物治疗与罕见的临床表现之间的潜在关联.
主要方法:
- 病例报告详细说明患者病史,治疗过程和临床表现.
- 对抗TNF治疗的IBD患者类似唇部胀病例的医学文献的综述.
- 对唇部损伤进行临床检查和诊断工作.
主要成果:
- 患者经历了持续的临床和内镜缓解克罗恩氏病在阿达利姆巴治疗两年.
- 一个持久的,无症状的,状的胀在下唇上发展了超过1.5年.
- 在阿达利穆马布治疗的背景下,唇部胀的病因需要进一步调查.
结论:
- 阿达利穆马布可以有效地维持克罗恩病的缓解,包括术后复发.
- 持续的唇部胀是一种不常见的表现,需要在患有炎症性肠道疾病的患者中进行仔细评估.
- 阿达利穆马布和这种特定的唇部表现之间的关系仍需要阐明,需要进一步研究.
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