以吐血为表现的皮肌炎成人患者的胃肠道血管炎

IF 0.6 Q4 GASTROENTEROLOGY & HEPATOLOGY

ACG Case Reports Journal Pub Date : 2024-09-11 eCollection Date: 2024-09-01 DOI:10.14309/crj.0000000000001495

Susie Min, Debra W Yen, Gail L Bongiovanni

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引用次数: 0

摘要

皮肌炎（DM）是一种肌肉和皮肤炎症性疾病。严重的胃肠道（GI）受累很少见，其特点是继发于潜在血管病变的胃肠道出血和穿孔。我们描述了一例新确诊的 DM 病例，患者是一名 75 岁的女性，出现皮疹和肌无力。随后，她突然出现吐血症状，并被发现患有十二指肠溃疡，这是由于糖尿病引起的白细胞凝集性血管炎所致。我们的目的是强调识别成人糖尿病消化道受累的必要性。

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Gastrointestinal Vasculitis in Adult Patient With Dermatomyositis Presenting as Hematemesis.

Dermatomyositis (DM) is an inflammatory disease of the muscles and skin. Severe gastrointestinal (GI) involvement, characterized by GI bleeding and perforation secondary to underlying vasculopathy, is rarely seen. We describe a case of newly diagnosed DM in a 75-year-old woman who presented with a rash and muscle weakness. She then had sudden onset of hematemesis and was found to have duodenal ulcers due to leukocytoclastic vasculitis from her DM. Our aim was to highlight the need for recognition of GI involvement in adults with DM.

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来源期刊

ACG Case Reports Journal GASTROENTEROLOGY & HEPATOLOGY-

自引率

14.30%

发文量

170

审稿时长

12 weeks

期刊介绍： ACG Case Reports Journal is a peer-reviewed, open-access publication that provides GI and hepatology fellows, private practice clinicians, and other healthcare providers an opportunity to share interesting case reports with their peers and with leaders in the field. ACG Case Reports Journal publishes case reports, images, videos and letters to the editor in all topics of gastroenterology and hepatology, including: Biliary Colon Endoscopy Esophagus Functional Bowel Disorders Inflammatory Bowel Disease Liver Nutrition and Obesity Pancreas Pathology Pediatric Small Bowel Stomach.