以多发结直肠溃疡为复发征象的狼疮性肠炎1例。

Q3 Medicine

Tokai Journal of Experimental and Clinical Medicine Pub Date : 2022-12-20

Shingo Tsuda, Junko Nagata, Toru Yamaguchi, Tsubomi Cho, Takahiro Mori, Masashi Yokota, Ryutaro Fujimoto, Shunji Hirose, Hiroyuki Ito, Takayuki Wakabayashi, Soichiro Yamamoto, Norihito Watanabe, Takayoshi Suzuki

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引用次数: 0

摘要

患者是一名62岁的女性。她曾接受系统性红斑狼疮(SLE)治疗15年，使用环孢素、强的松龙和噻氯匹定的临床病程稳定。她经历了四个月的肛门疼痛、腹泻和便血。结肠镜检查显示结肠散在性大小穿孔溃疡，乙状结肠纵深溃疡。血检结果显示SLE活动度低。粘膜活检培养未见任何发现。ct示肠膜动静脉扩张(梳状征)，怀疑狼疮性肠炎。在开始内窥镜脉冲治疗后，症状迅速改善。胃镜图像证实溃疡消失。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

本刊更多论文

A Case of Lupus Enteritis in Which Multiple Colorectal Ulcers Were the Only Signs of Relapse.

The patient was a 62-year-old woman. She had been treated for systemic lupus erythematosus (SLE) for 15 years and had a stable clinical course with cyclosporine, prednisolone, and ticlopidine. She experienced anal pain, diarrhea, and bloody stools for four months. Colonoscopy showed scattered large and small punchedout ulcers in the colon and deep longitudinal ulcers in the sigmoid colon. Blood test results indicated low SLE activity. Culture of mucosal biopsy did not reveal any findings. Computed tomography showed intestinal membrane arteriovenous dilatation (comb sign), therefore lupus enteritis was suspected. After initiating endoxan pulse therapy, symptoms improved rapidly. Disappearance of ulcers was confirmed by endoscopic images.

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来源期刊

Tokai Journal of Experimental and Clinical Medicine Medicine-Medicine (all)

CiteScore

1.10

自引率

0.00%

发文量

期刊介绍： The Tokai Journal of Experimental and Clinical Medicine, also referred to as Tokai Journal, is an official quarterly publication of the Tokai Medical Association. Tokai Journal publishes original articles that deal with issues of clinical, experimental, socioeconomic, cultural and/or historical importance to medical science and related fields. Manuscripts may be submitted as full-length Original Articles or Brief Communications. Tokai Journal also publishes reviews and symposium proceedings. Articles accepted for publication in Tokai Journal cannot be reproduced elsewhere without written permission from the Tokai Medical Association. In addition, Tokai Journal will not be held responsible for the opinions of the authors expressed in the published articles.