作为克罗恩病的肠外表现的下丘脑缺血:一个病例报告
Ibrahim Adibah1, Omar Ahmad Akram1, Nageshar Ashna2
1MD, MMed (O&G), Department of Obstetrics and Gynaecology, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
概括
克罗恩病是什么 克罗恩病
科学领域:
- 胃肠道学和内分泌学
背景情况:
- 克罗恩氏病 (CD) 是一种慢性炎症性肠道疾病.
- 虽然在马来西亚很少见,但CD可以表现为不寻常的全身症状,包括生殖功能障碍.
研究的目的:
- 报告一例被误诊为子宫内膜异位症的二次 amenorrhea,后来被确定为克罗恩病.
- 为了强调慢性疾病,营养不良和功能性下丘脑缺血之间的联系.
主要方法:
- 一个31岁的妇女的病例报告,患有二次异常流产.
- 激素评估,以评估下丘脑-垂体轴的功能.
- 用皮质类固醇治疗和营养康复.
主要成果:
- 该患者在出现胃肠道症状和体重减轻后被诊断出克罗恩病.
- 荷尔蒙评估表明,由于营养不良和炎症导致的下丘脑-垂体轴抑制.
- 治疗导致体重增加,并在3个月内恢复月经.
结论:
- 功能性下丘脑缺血是与慢性疾病和营养缺陷相关的可逆性疾病.
- 像克罗恩病这样的全身性疾病可以模仿妇科疾病,延迟诊断.
- 跨学科的合作对于诊断月经障碍与同时出现的胃肠道症状至关重要,特别是在IBD发病率低的地区.
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