与IgA血管炎相关的胃肠道出血的治疗性血非瑞斯
Yuri Shinotsuka1, Kensei Taguchi1,2, Goh Kodama1
1Division of Nephrology, Department of Medicine, Kurume University School of Medicine, Kurume, Japan.
概括
治疗性血交换 (TPE) 可能有助于严重的IgA血管炎 (IgAV) 病例带有器官威胁症状,特别是当标准治疗失败时. 这种方法对耐火性胃肠道出血和质膜炎有潜在的好处.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 类风湿病学 类风湿病学
- 血液学 血液学 血液学
背景情况:
- 成年开始的IgA血管炎 (IgAV) 可以导致严重的脏和胃肠道 (GI) 并发症.
- 目前对危及生命的IgAV表现的治疗指南还不清楚.
研究的目的:
- 评估治疗性血交换 (TPE) 在治疗成人发病的严重IgA血管炎 (IgAV) 的有效性.
- 探索TPE作为IgAV患者的辅助疗法,这些患者对标准治疗没有反应.
主要方法:
- 对PubMed索引的病例报告进行系统的文本挖掘分析,涉及用TPE治疗的IgAV.
- 一位80岁的妇女患有耐火性胃肠道出血和快速进展的淋巴结核炎的病例介绍.
主要成果:
- 在本案中,TPE通过新鲜冷血在七次治疗中成功控制了疾病活动.
- 患者在TPE后经历了胃肠道出血的改善,尽管先前接受了皮质类固醇,环胺和栓塞治疗.
- 文献审查表明,TPE可能有利于对常规免疫抑制剂耐药的IgAV患者.
结论:
- 治疗性血交换 (TPE) 显示出作为严重IgA血管炎 (IgAV) 具有器官威胁性表现的辅助疗法的实用性.
- 需要进一步的研究来确定IgAV管理中TPE的最佳指示和协议.
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