Chávez E, Ceresa S, Rossel M, Las Heras J
Unidad de Gastroenterología, Hospital Clínico San Borja-Arriarán.
Rev Chil Pediatr. 1991 Jul-Aug;62(4):264-7.
Ulcerative colitis in children has been seldom described in Chile. The cases of a 14 year old girl and a 10 year old boy with this disease are presented. Both had diarrhea for more than two months--which was continuous in the first case and intermittent in the other one--, bloody stools, weight loss, anemia and abdominal pain. Bacteriological and parasitological examination of stools were negative. Diagnosis of ulcerative colitis was based on barium enema, which showed mucosal ulceration and loss of the normal claustral pattern, rectosigmoidoscopy, that revealed hyperemia, friability and erosions of the corresponding segments of intestinal mucosa, and on histological examination of multiple mucosal biopsies, which disclosed crypt abscess, distorted crypt pattern, inflammation of the lamina propria and decreased number of goblet cells. Both cases were treated with salazosulfapyridine with satisfactory response.
智利关于儿童溃疡性结肠炎的描述很少。本文介绍了一名14岁女孩和一名10岁男孩患此病的病例。两人均有持续两个多月的腹泻症状——前者为持续性腹泻,后者为间歇性腹泻——同时伴有便血、体重减轻、贫血和腹痛。粪便的细菌学和寄生虫学检查均为阴性。溃疡性结肠炎的诊断基于钡剂灌肠(显示黏膜溃疡和正常结肠袋形态消失)、直肠乙状结肠镜检查(显示相应肠段黏膜充血、质脆和糜烂)以及多处黏膜活检的组织学检查(显示隐窝脓肿、隐窝形态扭曲、固有层炎症和杯状细胞数量减少)。两例患者均接受柳氮磺胺吡啶治疗,反应良好。