Brunner Jürgen, Sergi Consolato, Müller Thomas, Gassner Ingmar, Prüfer Friederike, Zimmerhackl Lothar Bernd
Department of Paediatrics, Medical University of Innsbruck, Anichstrasse 35, 6020 Innsbruck, Austria.
Eur J Pediatr. 2006 Jun;165(6):398-401. doi: 10.1007/s00431-005-0059-y. Epub 2006 Mar 18.
A 12-year-old Turkish girl suffered from abdominal pain located in the right lower abdomen for 3 weeks. Ultrasound revealed palisade-like swelling of the mucosa in the ileum. Gastrointestinal biopsy showed incipient granulomas in the stomach and moderate fibrosis of the terminal ileum. Subsequently, bilateral hilar adenopathy and an abnormal level of serum angiotensin-converting enzyme were detected. The relevance of paediatric sarcoidosis mimicking Crohn's disease is discussed.
一名12岁的土耳其女孩右下腹部疼痛3周。超声检查显示回肠黏膜呈栅栏状肿胀。胃肠道活检显示胃内有早期肉芽肿,回肠末端有中度纤维化。随后,检测到双侧肺门淋巴结肿大及血清血管紧张素转换酶水平异常。本文讨论了小儿结节病酷似克罗恩病的相关性。