血清阴性结核病的诊断挑战:大规模壮病和持续代谢失衡的病例

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Mathab Adam¹, Ahmed H Ahmed¹, Aia A Ibrahim¹

¹Internal Medicine, Hamad Medical Corporation, Doha, QAT.

Cureus

|February 6, 2026

概括

这个案例研究强调了一个年轻的女性,患有严重的电解质失衡和腹部问题. 早期识别和治疗血清阴性腹病 (CD) 导致症状缓解,强调诊断警.

科学领域:

胃肠病学胃肠病学
内部医学内部医学
儿科儿科儿科

背景情况:

经常出现的严重电解质障碍 (低血,低血,低血,代谢性酸) 和慢性腹部疾病可能会带来诊断挑战.
广泛的初步调查,包括生物化学,成像,传染病和自身免疫工作,未能确定明确的病因学.
阴性乳清学最初掩盖了诊断在一个患者具有暗示性临床特征.

研究的目的:

报告一种具有挑战性的血清阴性腹病 (CD) 病例,表现为严重的电解质干扰.
为了强调在异常呈现时考虑血清阴性CD的重要性.
突出诊断困难和治疗策略的血清阴性CD.

主要方法:

详细的临床病例介绍,一个年轻的女性患有无法解释的电解质异常和胃肠道症状.
综合诊断工作,包括生物化学测试,成像和血清学查.
基于对血清阴性CD的临床怀疑,严格无质饮食的治疗试验.

主要成果:

尽管胆固醇血清学是负面的,但严格的无质饮食导致电解质障碍的逐渐正常化.
在饮食干预后,获得了显著的症状缓解.
该病例证明了对谷蛋白戒断的积极反应,支持了血清阴性CD的诊断.

结论:

血清阴性腹病 (CD) 可以呈现出严重的,不典型的表现,包括严重的电解质失衡.
怀疑的高指数和临床,实验室和成像发现的相关性对于诊断血清阴性CD至关重要.
早期识别和启动无质饮食对于管理血清阴性CD和改善患者结果至关重要.

关键词:

案例报告案例报告患有乳性疾病的患者.电解质干扰电解质干扰吸收不良的情况血清消极的腹腔疾病是什么脊髓大病是一种病.

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