Yüksel Zehre, Schweizer Joachim J, Mourad-Baars Petronella E C, Sukhai Ram N, Mearin Luisa M
Paediatric Gastroenterology, Department of Paediatrics, Leiden University Medical Centre, Free University Medical Centre, P.O. Box 9600, 2300 RC, Leiden, The Netherlands.
Clin Rheumatol. 2007 Jun;26(6):969-70. doi: 10.1007/s10067-006-0212-7. Epub 2006 May 24.
In western countries, when a child presents with recurrent oral ulcers and colitis, the diagnosis of Crohn's disease is mostly made. In our patient, the diagnosis was Behçet's disease with gastrointestinal manifestations. Behçet's disease with gastrointestinal manifestations has a similar clinical presentation to Crohn's disease, but there is more organ involvement and the prognosis is more severe in the former. Because there is limited experience in the treatment of Behçet's disease in the paediatric population, successful and unsuccessful treatment modalities in both paediatric and adult populations should be reported.
在西方国家,当儿童出现复发性口腔溃疡和结肠炎时,大多诊断为克罗恩病。在我们的患者中,诊断为伴有胃肠道表现的白塞病。伴有胃肠道表现的白塞病与克罗恩病临床表现相似,但前者器官受累更多,预后更严重。由于儿科人群白塞病的治疗经验有限,因此应报告儿科和成人人群的成功与失败的治疗方式。