在老年人中推迟诊断微观结肠炎的警告. 一系列的案件
Lorete Maria da Silva Kotze1, Luiz Roberto Kotze1, Raquel Canzi Almada de Souza1
1Universidade Federal do Paraná, Curitiba, PR, Brasil.
Arquivos de gastroenterologia
|March 7, 2024
概括
微观性结肠炎 (MC) 是慢性腹的隐藏原因,诊断往往会延迟. 这一案例系列强调了使用高风险药物的老年女性,其中布松胺MMX显示有效治疗和良好的耐受性.
科学领域:
- 胃肠病学 胃肠病学
- 内部医学 内部医学
- 炎症性肠道疾病研究研究
背景情况:
- 微观性结肠炎 (MC) 是一种未被确诊的炎症性肠病,呈现为慢性非血性腹.
- 延迟诊断MC显著影响患者的生活质量.
研究的目的:
- 报告一系列病例中的微观结肠炎的临床表现,诊断延迟和治疗结果.
- 为了研究微观结肠炎治疗的非标签布德索尼德MMX的疗效和安全性.
主要方法:
- 在胃肠病学参考办公室2022年5月至2023年6月期间诊断出MC的六名患者的病例系列.
- 数据收集包括患者病史,并发症,药物使用,症状发作,诊断延迟和治疗反应.
- 所有患者都为非标签使用布索尼德MMX (Corament®) 提供了知情同意.
主要成果:
- 六名高加索患者 (5名女性,1名男性,年龄在65-74岁) 被诊断出患有MC.
- 所有患者都患有并发症,使用多种处方药,并先前被诊断为易怒肠综合征.
- 诊断延迟从2个月到6年不等;所有患者都通过布松胺MMX获得了完全的临床缓解,没有报告的副作用.
结论:
- 老年女性,特别是那些服用高风险药物的人,应该考虑MC.
- 及时诊断显微性结肠炎对于改善患者的生活质量至关重要.
- 布塞尼德MMX在治疗微观结肠炎方面表现出有效性,安全性和良好的耐受性.
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