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[与克罗恩病相关的肠外表现]
Ibrahim Ayada1, Michiel P van Wijk1, Nanne K de Boer2
1Emma Kinderziekenhuis, afd. Kindermaag-darm-leverziekten, Amsterdam.
Nederlands tijdschrift voor geneeskunde
|May 23, 2024
概括
肠外表现 (EIM) 可能是克罗恩病 (CD) 的第一个迹象,延迟了诊断. 迅速识别和治疗EIM对于管理症状和潜在的克罗恩病至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 类风湿病学 类风湿病学
- 皮肤病学 皮肤病学
- 眼科医生 眼科 眼科
背景情况:
- 肠外表现 (EIM) 在克罗恩病 (CD) 中很常见.
- EIM可以在胃肠道症状之前,与胃肠道症状同时发生或随之发生.
- 这些表现影响患者的生活质量,需要及时诊断.
研究的目的:
- 强调EIM作为克罗恩病早期指标的重要性.
- 介绍EIM导致CD诊断延迟的病例.
- 审查流行性EIM的流行病学和临床表现.
主要方法:
- 对三名患者 (两名儿科,一名成人) 的病例序列分析.
- 关于EIM流行,流行病学和克罗恩病症状的文献综述.
- 与EIM发病有关的诊断时间表的分析.
主要成果:
- 在所有提出的病例中,EIM在克罗恩病的诊断之前.
- 通常受影响的区域包括关节,皮肤和眼睛.
- EIM可以独立于活性胃肠道疾病活动而发生.
结论:
- 胃肠炎是克罗恩病的关键诊断线索,甚至在胃肠道症状出现之前.
- 早期识别EIM对于及时的CD诊断和管理至关重要.
- 需要一个全面的方法来解决EIM和潜在的CD.
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