一个患有性结肠炎的孩子出现妄症:一个病例报告
Ulaş Emre Akbulut1, İshak Abdurrahman Işık1, Atike Atalay1
1Department of Pediatric Gastroenterology Hepatology and Nutrition, University of Health Sciences Antalya Education and Research Hospital, Antalya, Türkiye.
The Turkish journal of pediatrics
|September 9, 2025
概括
痴呆症可能是儿童性结肠炎的早期症状. 这个案例显示了一名患有性结肠炎的儿科患者,其妄症通过抗瘤缩因子治疗而不是类固醇得到解决.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 儿科神经学 儿科神经学
- 炎症性肠道疾病 炎症性肠病
背景情况:
- 在性结肠炎中观察到 Delirium,特别是在老年或长期住院的患者中.
- 由于氨酸缺乏,维尼克脑病也可能发生在患有性结肠炎或克罗恩病的儿童中.
- 这一案例突出显示了小儿性结肠炎患者的 Delirium 是最初的症状.
研究的目的:
- 呈现一个儿科病例的性结肠炎与 Delirium 作为第一个症状.
- 在这种情况下,研究抗瘤亡因子-α治疗妄的疗效.
- 为促进对儿童炎症性肠病相关的神经并发症的理解.
主要方法:
- 一个14岁的男性患有妄想症,随后被诊断为性结肠炎的病例报告.
- 进行了神经学和实验室评估,包括电解质和维生素水平.
- 评估了对类固醇和抗瘤亡因子-α的治疗反应.
主要成果:
- 患者出现了无意义的言语和幻觉,最初有无血性腹.
- 在腹变血之后,性结肠炎的诊断得到了确认.
- 患者没有对类固醇治疗做出反应,但通过抗瘤坏死因子疗法完全康复.
结论:
- 痴呆症可能是儿童性结肠炎的表现症状.
- 没有代谢障碍表明炎症是 Delirium 的原因.
- 这是儿童患者首次报告患有炎症性肠病相关妄的病例.
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