同时的狼肠炎和狼囊炎:病例报告和文献综述
Doan Nguyen1,2, Huong Nguyen3, Uyen Tran4
1Department of Internal Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.
概括
这项案例研究揭示了一名未被诊断的系统性红斑狼 (SLE) 患者,患有狼肠炎和囊炎. 早期识别自身免疫病因对于广泛的胃肠道和膀炎症至关重要.
科学领域:
- 免疫学 免疫学 免疫学
- 胃肠病学 胃肠病学
- 腎臟病學 (nephrology) 是一種醫學.
背景情况:
- 狼性肠炎和囊炎源于免疫复杂介导的光滑肌肉不运动.
- 没有先前的系统性红斑狼 (SLE) 诊断的同时呈现很少见.
研究的目的:
- 报告患者同时患有狼肠炎和囊炎的病例.
- 强调在无法解释的胃肠道和泌尿道炎症中考虑自身免疫病因的重要性.
主要方法:
- 临床病例介绍和诊断工作.
- 计算机断层扫描 (CT) 扫描用于成像胃肠道和泌尿道异常.
- 感染和其他自身免疫性疾病的排除性查.
- 根据2019年欧洲反风湿联盟/美国风湿病学院 (EULAR/ACR) 标准诊断SLE.
主要成果:
- 患者出现了严重的胃肠道症状 (疼痛,吐,体重减轻) 和尿道症状 (尿失性,急性).
- 扫描显示了扩散的胃肠壁加厚,囊炎,尿道扩张和双边水.
- 确诊的SLE诊断具有高的疾病活性 (SLEDAI得分18).
结论:
- 这一案例强调了在患有不明原因,广泛的胃肠道和膀炎症的患者中需要考虑SLE的必要性.
- 皮质类固醇治疗导致肠炎和囊炎的症状改善,以及其他器官的参与.
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