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药物诱导的消化不良和腹:一个科尔奇辛毒性病例
Meredith Yellen1, Rangesh Modi1, Rebecca Yao1
1Department of Internal Medicine, Section of Gastroenterology, Hepatology and Nutrition, University of Chicago Medicine, Chicago, Illinois.
Gastro hep advances
|September 22, 2025
概括
科尔奇辛的毒性会导致严重的胃肠道问题,包括营养不良和食道问题. 在一个70岁的老妇人中,立即停止使用黄素导致症状迅速消失.
科学领域:
- 胃肠病学 胃肠病学
- 毒理学 毒理学 毒理学
- 内部医学 内部医学
背景情况:
- 科尔奇辛是一种常用于痛风和其他炎症状况的药物.
- 已知胃肠道副作用,但严重的表现很少见.
- 渐进的胃肠道症状可能导致严重的营养不良.
研究的目的:
- 报告严重的菌素毒性病例,出现显著的胃肠道表现.
- 突出诊断挑战和内镜检查发现与菌素诱导的肠病相关.
- 强调在患有无法解释的胃肠道症状和体重减轻的患者中考虑药物毒性的重要性.
主要方法:
- 一个70岁的老妇人的病例报告,患有一年的渐进性腹,消化不良和体重减轻.
- 对食道,胃,十二指肠和结肠进行内镜评估.
- 从受影响的胃肠部位进行活检的组织病理学检查.
主要成果:
- 内镜检查显示了食道网,侵蚀,胃和十二指肠堵塞以及结肠粘膜颗粒度.
- 活检显示了菌素毒性的特征性发现,包括环状线粒症,皮质,细胞亡和表皮性异常.
- 患者经历了完整的症状解消在停用菌素后3天内.
结论:
- 严重的胃肠道表现,包括营养不良和内镜异常,可能是菌素毒性的结果.
- 组织病理学发现对于诊断菌素诱导的肠病变至关重要.
- 早期识别和停止违规代理是成功管理和症状逆转的关键.
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