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硬化性胆管炎合并多灶性纤维化：病例报告

Sclerosing cholangitis associated with multifocal fibrosis: a case report.

作者信息

Laitt R D, Hubscher S G, Buckels J A, Darby S, Elias E

机构信息

Liver Unit, Queen Elizabeth Medical Centre, Edgbaston, Birmingham.

出版信息

Gut. 1992 Oct;33(10):1430-2. doi: 10.1136/gut.33.10.1430.

DOI:10.1136/gut.33.10.1430
PMID:1446876
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1379620/
Abstract

The association of sclerosing cholangitis, retroperitoneal fibrosis, and Riedel's thyroiditis has been reported twice before, and on both occasions the authors successfully used steroids to control the fibrotic process. A further case of fibrosis with this triad of organ involvement in which a combination of surgery and steroid treatment has arrested disease progression is described. This suggests an inappropriate immune response in this type of fibrotic overlap syndrome.

摘要

硬化性胆管炎、腹膜后纤维化和里德尔甲状腺炎的关联此前已有两次报道，且两次报道中作者均成功使用类固醇控制纤维化进程。本文描述了另一例出现这三种器官受累的纤维化病例，其中手术与类固醇治疗相结合阻止了疾病进展。这表明在这类纤维化重叠综合征中存在不适当的免疫反应。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfa9/1379620/3a3c072f742a/gut00577-0165-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfa9/1379620/65d9f617f8a2/gut00577-0164-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfa9/1379620/44bc176588c7/gut00577-0165-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfa9/1379620/3a3c072f742a/gut00577-0165-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfa9/1379620/65d9f617f8a2/gut00577-0164-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfa9/1379620/44bc176588c7/gut00577-0165-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfa9/1379620/3a3c072f742a/gut00577-0165-b.jpg

相似文献

1
Sclerosing cholangitis associated with multifocal fibrosis: a case report.硬化性胆管炎合并多灶性纤维化：病例报告
Gut. 1992 Oct;33(10):1430-2. doi: 10.1136/gut.33.10.1430.
2
Diffuse periarterial involvement in systemic fibrosclerosis with Riedel's thyroiditis, sclerosing cholangitis, and retroperitoneal fibrosis.系统性纤维硬化症伴里德尔甲状腺炎、硬化性胆管炎和腹膜后纤维化时的弥漫性动脉周围受累。
Scand J Rheumatol. 2008 Nov-Dec;37(6):490-2. doi: 10.1080/03009740802241725.
3
Riedel's thyroiditis, retroperitoneal fibrosis, and sclerosing cholangitis: diseases with one pathogenesis?里德尔甲状腺炎、腹膜后纤维化和硬化性胆管炎：具有相同发病机制的疾病？
Gut. 1993 May;34(5):714. doi: 10.1136/gut.34.5.714.
4
Multifocal idiopathic fibrosclerosis manifesting with Riedel's thyroiditis.表现为Riedel甲状腺炎的多灶性特发性纤维硬化症。
Endocr Pract. 2000 Nov-Dec;6(6):447-9.
5
Multifocal idiopathic fibrosclerosis. Two cases with simultaneous occurrence of retroperitoneal fibrosis and Riedel's thyroiditis.多灶性特发性纤维硬化症。两例同时发生腹膜后纤维化和Riedel甲状腺炎的病例。
Acta Med Scand. 1980;208(1-2):119-23.
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Idiopathic retroperitoneal fibrosis in multifocal fibrosclerosis.多灶性纤维化中的特发性腹膜后纤维化。
Eur Urol. 1976;2(5):258-60. doi: 10.1159/000472022.
7
Steroid responsiveness in a case of Riedel's thyroiditis and retroperitoneal fibrosis.1例Riedel甲状腺炎合并腹膜后纤维化患者的类固醇反应性
Int J Clin Pract. 2004 Mar;58(3):312-5. doi: 10.1111/j.1368-5031.2004.00057.x.
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Occlusive phlebitis in multifocal fibrosclerosis.多灶性纤维硬化症中的闭塞性静脉炎
Am J Clin Pathol. 1976 Mar;65(3):274-83. doi: 10.1093/ajcp/65.3.274.
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Orbital involvement in multifocal fibrosclerosis.眼眶受累于多灶性纤维硬化症。
Br J Ophthalmol. 1995 Mar;79(3):246-9. doi: 10.1136/bjo.79.3.246.
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Riedel's thyroiditis in a patient with retroperitoneal fibrosis.一名患有腹膜后纤维化患者的里德尔甲状腺炎。
Neth J Med. 1991 Aug;39(1-2):17-9.

引用本文的文献

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2
IgG4-related sclerosing thyroiditis (Riedel-Struma): a review of clinicopathological features and management.IgG4 相关硬化性甲状腺炎（Riedel-Struma）：临床病理特征与治疗的综述。
Virchows Arch. 2023 Aug;483(2):133-144. doi: 10.1007/s00428-023-03561-2. Epub 2023 May 19.
3
Histological features of autoimmune pancreatitis and IgG4-related sclerosing cholangitis with a correlation with imaging findings.

本文引用的文献

1
The surgical aspects of thyroiditis.甲状腺炎的外科手术相关方面
Am J Surg. 1962 Nov;104:666-71. doi: 10.1016/0002-9610(62)90415-4.
2
Sclerosing cholangitis: its possible association with Riedel's struma and fibrous retroperitonitis. Report of two cases.硬化性胆管炎：其与Riedel甲状腺肿及纤维性腹膜后炎的可能关联。两例报告。
N Engl J Med. 1963 Jul 4;269:8-12. doi: 10.1056/NEJM196307042690102.
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Idiopathic fibrous mediastinitis.特发性纤维性纵隔炎
自身免疫性胰腺炎和 IgG4 相关硬化性胆管炎的组织学特征与影像学表现的相关性。
J Med Ultrason (2001). 2021 Oct;48(4):581-594. doi: 10.1007/s10396-021-01148-5. Epub 2021 Oct 20.
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Suspected idiopathic sclerosing orbital inflammation presenting as immunoglobulin G4-related disease: a case report.疑似特发性硬化性眼眶炎症表现为免疫球蛋白G4相关疾病：一例报告
J Med Case Rep. 2011 Sep 2;5:427. doi: 10.1186/1752-1947-5-427.
5
A case of IgG4-related sclerosing disease complicated by sclerosing cholangitis, retroperitoneal fibrosis and orbital pseudotumour.1例IgG4相关性硬化性疾病合并硬化性胆管炎、腹膜后纤维化及眼眶假瘤。
BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.02.2009.1590. Epub 2009 Jun 1.
6
Sclerosing cholangitis associated with retroperitoneal fibrosis: a case of multisystem fibroinflammatory disorder.硬化性胆管炎伴腹膜后纤维化：一种多系统纤维炎症性疾病。
Hepatol Int. 2010 Oct 7;4(4):779-83. doi: 10.1007/s12072-010-9222-2.
7
IgG₄-related sclerosing disease: a novel mimic of inflammatory bowel disease.IgG₄ 相关硬化性疾病：一种炎症性肠病的新类模仿物。
Dig Dis Sci. 2010 Nov;55(11):3047-51. doi: 10.1007/s10620-010-1287-1. Epub 2010 Jun 3.
8
Recognizing immunoglobulin G4 related overlap syndromes in patients with pancreatic and hepatobiliary diseases.识别胰腺和肝胆疾病患者中的免疫球蛋白G4相关性重叠综合征。
Can J Gastroenterol. 2008 Oct;22(10):840-6. doi: 10.1155/2008/586173.
9
[A 22 year old woman with fever, night sweats, weight loss and hepatomegaly].一名22岁女性，伴有发热、盗汗、体重减轻及肝肿大
Internist (Berl). 2007 Aug;48(8):863-9. doi: 10.1007/s00108-007-1895-9.
10
Hyper-IgG4 disease: report and characterisation of a new disease.高IgG4疾病：一种新疾病的报告与特征描述
BMC Med. 2006 Oct 6;4:23. doi: 10.1186/1741-7015-4-23.
Dis Chest. 1962 Jan;41:9-25. doi: 10.1378/chest.41.1.9.
4
Cervical and mediastinal fibrosis presenting with thyroid swelling.伴有甲状腺肿大的颈部和纵隔纤维化。
Br Med J. 1971 Jul 31;3(5769):290. doi: 10.1136/bmj.3.5769.290.
5
Multifocal fibrosclerosis.多灶性纤维硬化症
Proc R Soc Med. 1970 Dec;63(12):1309-11. doi: 10.1177/003591577006301240.
6
Bowlby's disease?鲍尔比氏病？
Br Med J. 1971 Oct 2;4(5778):46-7. doi: 10.1136/bmj.4.5778.46-a.
7
Idiopathic retroperitoneal fibrosis. A retrospective analysis of 60 cases.特发性腹膜后纤维化。60例回顾性分析。
Br J Urol. 1987 Dec;60(6):497-503. doi: 10.1111/j.1464-410x.1987.tb05028.x.
8
Sclerosing cholangitis.硬化性胆管炎
Adv Surg. 1988;21:65-92.
9
The clinical significance of retroperitoneal fibrosis.腹膜后纤维化的临床意义。
Surgery. 1977 Mar;81(3):250-7.
10
Primary sclerosing cholangitis associated with fibrosis of the submandibular glands and the pancreas.原发性硬化性胆管炎伴下颌下腺和胰腺纤维化。
Acta Med Scand. 1979;205(1-2):139-41. doi: 10.1111/j.0954-6820.1979.tb06019.x.