Rapid Development of a Hemorrhagic Hyperplastic Polyp in a Patient with Evolving Autoimmune Gastritis after Helicobacter pylori Eradication.

IF 1.1 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
Internal Medicine Pub Date : 2025-08-15 Epub Date: 2025-02-08 DOI:10.2169/internalmedicine.4701-24
Tohru Kotera, Takahiro Takemoto, Ryoji Kushima, Ken Haruma
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引用次数: 0

Abstract

In 2020, a 56-year-old woman with a history of Helicobacter pylori (H. pylori) eradication 9 years previously presented with a hemorrhagic hyperplastic polyp. Endoscopic and histological findings led to the diagnosis of advanced-stage autoimmune gastritis (AIG). A review of endoscopic findings from 2014 was available, and narrow-band imaging showed swelling of the gastric areas, characteristic of early-stage AIG. Together with the rapid growth of a hyperplastic polyp, these findings suggest a case of AIG that rapidly exacerbated after eradication. To our knowledge, this is the first case report of a rapidly developing hemorrhagic hyperplastic polyp associated with AIG after H. pylori eradication.

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幽门螺杆菌根除后自身免疫性胃炎患者出血性增生性息肉的快速发展
2020年,一名56岁女性,9年前有幽门螺杆菌根除史,出现出血性增生性息肉。内镜和组织学检查结果导致晚期自身免疫性胃炎(AIG)的诊断。回顾2014年的内镜检查结果,窄带成像显示胃区肿胀,早期AIG的特征。再加上增生性息肉的快速生长,这些发现提示AIG在根除后迅速恶化。据我们所知,这是第一例在根除幽门螺杆菌后迅速发展的出血性增生性息肉与AIG相关的病例报告。
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来源期刊
Internal Medicine
Internal Medicine 医学-医学:内科
CiteScore
1.90
自引率
8.30%
发文量
0
审稿时长
2.2 months
期刊介绍: Internal Medicine is an open-access online only journal published monthly by the Japanese Society of Internal Medicine. Articles must be prepared in accordance with "The Uniform Requirements for Manuscripts Submitted to Biomedical Journals (see Annals of Internal Medicine 108: 258-265, 1988), must be contributed solely to the Internal Medicine, and become the property of the Japanese Society of Internal Medicine. Statements contained therein are the responsibility of the author(s). The Society reserves copyright and renewal on all published material and such material may not be reproduced in any form without the written permission of the Society.
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