在 Transthyretin Amyloidosis 的老年患者中持续多重结肠和重复的急性血性腹:一个病例报告
Kenji Yorita1, Atsuki Maeda2, Kunihisa Uchita2
1Diagnostic Pathology, Japanese Red Cross Kochi Hospital, Kochi, JPN.
Cureus
|September 30, 2024
概括
晶氨基粉症 (ATTR氨基粉症) 可能导致罕见的胃肠道出血和. 早期诊断对于管理这种情况和相关的贫血至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 血液学 血液学 血液学
- 罕见疾病 罕见疾病
背景情况:
- 晶氨基粉症 (ATTR氨基粉症) 经常表现为非特异性胃肠道症状.
- 结肠出血和是ATTR氨基粉症的不常见表现.
研究的目的:
- 报告一种罕见的ATTR氨基粉症病例,呈现出显著的胃肠道出血和结肠.
- 强调在无法解释的胃肠道问题的差异诊断中考虑ATTR氨基粉症的重要性.
主要方法:
- 一名84岁的日本男子患有贫血,便隐性血液检测呈阳性病例报告.
- 内镜检查显示结肠侵蚀和.
- 胃,结肠,胃和胆囊活检的回顾性分析.
主要成果:
- 患者出现了贫血,血性腹和持续的结肠.
- 通过胃活检证实了ATTR粉样性,并在早期的组织样本中追溯确定.
- 随着症状治疗,症状有所改善.
结论:
- 在患有无法解释的结肠出血和贫血的患者中,应考虑ATTR氨基粉症.
- 胃肠道表现的ATTR Amyloidosis可能是多样化的,包括罕见的性疾病.
- 及时诊断ATTR Amyloidosis对于有效的患者管理至关重要.
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