在未经治疗的克罗恩氏病的青少年中Takayasu动脉炎:一个病例报告
Viven Solomon1, Jessica Fennell2, Lindsay M Griffin3
1Department of Pediatric Gastroenterology Connecticut Children's Medical Center Hartford Connecticut USA.
JPGN reports
|November 29, 2024
概括
炎症性肠病 (IBD) 可以表现为罕见的大动脉炎症 (大动脉炎). 在患有克罗恩病的青少年中,早期检测对于更好的结果至关重要.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 血管炎症 血管炎症
- 自免疫性疾病 自免疫性疾病
背景情况:
- 肠外表现 (EIM) 在炎症性肠病 (IBD) 中很常见,通常会影响关节,皮肤和器官.
- 大动脉炎症或主动脉炎是较少发生的EIM,特别是在儿科病例中,尽管在成年人中有记录.
研究的目的:
- 在患有克罗恩病的青少年中报告一例主动脉炎.
- 审查Takayasu动脉炎的病变和临床特征.
- 为了突出高雅苏动脉炎和IBD之间的相似之处,提高对这个EIM的认识.
主要方法:
- 一个患有克罗恩病的青少年女性出现胃肠道症状的病例报告.
- 诊断成像显示主动脉炎.
- 关于高山氏动脉炎和IBD的文献综述.
主要成果:
- 这位被诊断患有克罗恩病的患者出现了严重的腹,吐和体重减轻.
- 图像检查证实了主动脉炎的存在.
- 审查强调IBD和塔卡亚苏动脉炎之间的共享炎症路径和临床重叠.
结论:
- 关节炎是IBD在青少年中罕见但显著的肠外表现.
- 在儿科IBD患者中早期诊断出甲状腺炎与预后改善有关.
- 提高对主动脉炎作为EIM的认识是及时干预的必要条件.
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