Nakayama Masaharu, Muta Hiromi, Somada Shinichi, Maeda Toyoki, Mutoh Toshitaka, Shimizu Kanako, Suehiro Yoko, Hisano Terumasa, Kurita Ryo, Shiraishi Takeshi, Mori Masaki, Yoshikawa Yasuji, Tsunetomi Nobuto, Uchida Akihiro, Tani Kenzaburo
Department of Advanced Molecular and Cell Therapy, Kyushu University Hospital, Fukuoka, Japan.
Intern Med. 2007;46(4):175-80. doi: 10.2169/internalmedicine.46.1735. Epub 2007 Feb 15.
Here, we report a case of Cronkhite-Canada syndrome in a patient with schizophrenia. A 64-year-old man, who had been diagnosed as having a schizophrenic disorder at the age of 30, presented with alopecia, atrophic nail changes, hyperpigmentation of the skin, and inflammatory polyposis of the stomach and colon. Endoscopic ultrasonography of the stomach and colon revealed diffuse mucosal thickening with small hypoechoic areas, corresponding to edema of the lamina propria. After treatment with parenteral hyperalimentation and tranexamic acid, his physical findings and polyposis gradually improved. This is the first report of Cronkhite-Canada syndrome in a patient with schizophrenia.
在此,我们报告一例患有精神分裂症的患者并发克兰克-加拿大综合征。一名64岁男性,30岁时被诊断患有精神分裂症,出现脱发、指甲萎缩性改变、皮肤色素沉着以及胃和结肠的炎性息肉病。胃和结肠的内镜超声检查显示弥漫性黏膜增厚,伴有小的低回声区,对应于固有层水肿。经胃肠外高营养和氨甲环酸治疗后,他的体格检查结果和息肉病逐渐改善。这是关于精神分裂症患者并发克兰克-加拿大综合征的首例报告。