在脏移植接受者中诱导的多重阴道:诊断挑战和管理
Misato Shimizu1, Masafumi Kitamura1, Yusuke Ono1
1Department of Medicine, Division of Gastroenterology, Jichi Medical University, Japan.
在移植患者中,反复出现的胃肠道出血与mycophenolate mofetil (MMF) 有关. 停止使用MMF可以消除乳腺,突出其在药物诱导的肠道损伤中的潜在作用.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 胃肠病学 胃肠病学
- 药理学 药理学是指药理学的学科.
背景情况:
- 肠道并发症是接受脏移植患者的一个担忧.
- 菌酸莫菲蒂尔 (MMF) 是常用的移植后药物,但可能有胃肠道的副作用.
研究的目的:
- 报告一种罕见的,由MMF诱导的阴道引起的反复胃肠道出血病例.
- 强调肠镜在识别药物诱导的小肠损伤方面的诊断效用.
主要方法:
- 一个接受脏移植的接受者患有持续的胃肠道出血的病例报告.
- 诊断程序包括双气球肠镜和活检.
- 处理涉及停止货币基金的货币基金.
主要成果:
- 通过肠镜检查确定了多个阴道.
- 活检排除了其他病因.
- 停止使用MMF导致症状迅速消失和愈.
结论:
- 由MMF引起的肠炎是移植后胃肠道出血的一个罕见但重要的考虑因素.
- 肠镜对于诊断药物诱导的小肠损伤非常有价值.
- 在这种情况下,货币市场基金应该被纳入差异诊断.
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