淋巴细胞结肠炎与皮质延伸在食后:一个病例报告
Rabia Najeeb1, Sri Harsha Kanuri1, Vraj J Patel1
1Department of Internal Medicine, Merit Health Wesley, Hattiesburg, USA.
Cureus
|October 27, 2025
概括
淋巴细胞性结肠炎是一种罕见的慢性腹的原因,在一个老年男性中被诊断出吃后. 及时的类固醇治疗导致症状的缓解,这表明潜在的食物触发病因.
科学领域:
- 胃肠病学 胃肠病学
- 内部医学 内部医学
- 病理学 病理学 病理学
背景情况:
- 淋巴细胞性结肠炎是一种不常见的疾病,导致慢性腹,其特征是结肠内皮质淋巴细胞增加.
- 由于模仿其他胃肠道疾病的非特异性症状,诊断可能具有挑战性.
研究的目的:
- 呈现一种淋巴细胞性结肠炎的病例,具有与食物相关的潜在触发因素.
- 突出诊断挑战和治疗结果.
主要方法:
- 一个84岁的男性患有持续的水性腹的病例报告.
- 评估包括实验室检测,成像 (CT扫描) 和结肠活检.
- 治疗包括静脉注射甲基prednisolone.
主要成果:
- 患者出现严重的腹,疲劳,体重减轻,低血压,低血量和急性损伤.
- 传染病研究和乳病的研究结果是负面的.
- 结肠活检证实了淋巴细胞性结肠炎; 症状通过甲基prednisolone治疗得到缓解.
结论:
- 这一案例凸显了淋巴细胞性结肠炎的诊断困难,该疾病可以呈现亚急性症状.
- 与食的时间联系表明,淋巴细胞结肠炎的可能是食物抗原介导的触发因素.
- 静脉输入的皮质类固醇在治疗严重症状方面有效.
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