Doko M, Zjacic-Rotkvic V, Zovak M, Kopljar M, Glavan E, Radacic-Aumiler M
Department of Surgery, University Hospital Sestre Milosrdnice, Zagreb, Croatia.
Endocrine. 2001 Nov;16(2):69-71. doi: 10.1385/endo:16:2:069.
The occurrence of inflammatory bowel disease in patients with glycogen storage disease lb is rare (GSD-lb). We present the case of a young woman with the diagnosis of GSD-lb Crohn-like colitis developed at age 22. Clinical evaluation revealed severe malnutrition, secondary amenorrhea, leukopenia, neutropenia, dysfunctions of phagocytosis, and subtotal stenosis of the ascending colon. Right hemicolectomy was performed and pathohistologic analysis of the resected bowel showed chronic bowel inflammation consistent with Crohn disease. Clinical status of the patient markedly improved after surgery.
糖原贮积病lb型(GSD-lb)患者中炎症性肠病的发生较为罕见。我们报告了一例年轻女性病例,该患者在22岁时被诊断为GSD-lb型并发展为克罗恩样结肠炎。临床评估显示严重营养不良、继发性闭经、白细胞减少、中性粒细胞减少、吞噬功能障碍以及升结肠次全狭窄。进行了右半结肠切除术,对切除肠段的病理组织学分析显示与克罗恩病一致的慢性肠道炎症。术后患者的临床状况明显改善。