阴囊胀是克罗恩病的一个表现
Dhruv Gandhi1, Shivangi Tetarbe1, Preeti Sheth2
1Department of Pediatric Gastroenterology and Hepatology, Bai Jerbai Wadia Hospital for Children, Acharya Dhonde Marg, Parel, Mumbai, Maharashtra 400012, India.
Journal of surgical case reports
|September 10, 2025
概括
转移性克罗恩病 (MCD) 是一种罕见的皮肤疾病,可能是儿童克罗恩病 (CD) 的早期症状. 这一案例凸显了在患有不明原因皮肤病变的儿科患者中考虑MCD的重要性.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 皮肤病学 皮肤病学
- 炎症性肠道疾病是什么
背景情况:
- 转移性克罗恩病 (MCD) 是克罗恩病 (CD) 的一种罕见的肠外表现.
- 它通常呈现为远离肠道的皮肤干扰,特别是在儿科病例中.
- 早期识别对于及时诊断和管理至关重要.
研究的目的:
- 为了呈现患有转移性克罗恩病的儿科病例.
- 强调MCD的诊断挑战和临床表现.
- 突出考虑MCD在患有不明原因皮肤疾病的儿童中的重要性.
主要方法:
- 一个儿科病人的病例报告,病史中有近病变和 inguinoscrotal 胀.
- 临床检查,包括对肝炎的评估.
- 阴囊病变的皮肤活检揭示了非致病性颗粒状炎症.
- 便中的calprotectin水平和胃肠道活检.
主要成果:
- 这名患者在1.5年的病史中出现了围病变,阴囊胀和间歇性血.
- 阴囊皮肤活检证实了非病原性颗粒状炎症,表明MCD.
- 在胃肠道活检中发现便calprotectin升高和不确定的结肠炎.
- 最初的症状治疗无效;开始服用口服免疫调节剂.
结论:
- 转移性克罗恩病可以是儿童患者克罗恩病的初始表现.
- 对于患有不明原因的皮肤病变的儿童,需要提高MCD的临床意识.
- 及时诊断和适当的管理,可能包括免疫调节剂,是至关重要的.
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