在SARS-CoV-2感染后新诊断的克罗恩病
Hironori Yamada1, Toru Yamada1, Shuji Ouchi1
1Department of General Medicine, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo, Tokyo, Japan.
在COVID-19后持续的腹可能表明克罗恩病 (CD),一种类型的炎症性肠病 (IBD). 通过大肠直肠镜早期诊断对于这些病例的及时治疗和缓解至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 传染性疾病 传染性疾病
- 免疫学 免疫学 免疫学
背景情况:
- 冠状病毒疾病2019 (COVID-19) 通常表现为呼吸道和胃肠道症状.
- 在COVID-19后观察到长时间的腹,需要对潜在原因进行调查.
- 炎症性肠病 (IBD),包括克罗恩病 (CD),很少与最初的COVID-19症状有关.
研究的目的:
- 报告在COVID-19后持续性腹后诊断出克罗恩病 (CD) 的病例.
- 突出COVID-19感染和CD的发生之间的潜在联系.
- 强调在COVID-19后长期出现胃肠道症状的患者考虑CD的重要性.
主要方法:
- 一名年轻男性患者的病例报告,在COVID-19后患有持续性腹.
- 临床评估包括胆管结肠镜检查,以诊断慢性腹的原因.
- 在诊断出克罗恩病时开始免疫抑制疗法 (普雷迪尼索隆,阿扎西奥普林).
主要成果:
- 患者在COVID-19后两个月经历了持续性腹,最初的症状包括发烧和腹痛.
- 胆管镜检查证实了克罗恩氏病 (CD) 的诊断.
- 患者在接受了普雷迪尼索隆和阿扎西奥普林治疗后实现了临床缓解.
结论:
- 在COVID-19后持续的腹可能是新发病或恶化的炎症性肠病 (IBD),特别是克罗恩病 (CD) 的指标.
- 由影响肠道的SARS-CoV-2感染引发的免疫调节障碍可能会导致CD的发病.
- 应考虑对COVID-19后出现长期腹的患者进行乳房结肠镜检查,以排除IBD.
更多相关视频
08:41Live Imaging and Quantification of Viral Infection in K18 hACE2 Transgenic Mice Using Reporter-Expressing Recombinant SARS-CoV-2
Published on: November 5, 2021
03:53Development of Multiplex Real-Time RT-qPCR Assays for the Detection of SARS-CoV-2, Influenza A/B, and MERS-CoV
Published on: November 10, 2023
相关概念视频
Drugs for Treatment of Crohn's Disease in IBD Using Immunomodulatory Agents
Drugs for Treatment of Crohn's Disease in IBD Using Glucocorticoids
Inflammatory Bowel Disease II: Crohn's Disease
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by transmural...
Coronavirus
Inflammatory Bowel Disease III: Crohn's Disease
Inflammatory Bowel Disease IV: Clinical Manifestations
