Sánchez Lombraña J L, Triviño A, Linares A, Navascués C A, Pérez R, Rodríguez M, Rodrigo L
Servicios de Aparato Digestivo y de Anatomía Patológica, Hospital Covadonga, Oviedo.
Rev Esp Enferm Dig. 1991 Nov;80(5):337-41.
Two instances of Crohn's disease and amyloidosis are presented. The time elapsed between the diagnosis of Crohn's disease and that of amyloidosis was 2 and 8 years respectively. The first case had hepatosplenomegaly and moderate proteinuria; the other one, severe proteinuria in the nephrotic syndrome range. One patient had ileocolic disease and the other disease limited to the terminal ileum. In both cases renal functional was normal. The diagnosis was made by liver biopsy in one patient and by repeated renal biopsy in the one with nephrotic syndrome. Ileocolic resection was undertaken in one patient without complications. Screening for amyloidosis is important in patients with Crohn's disease.
本文报告了2例克罗恩病合并淀粉样变性病例。克罗恩病诊断与淀粉样变性诊断之间的时间间隔分别为2年和8年。第一例有肝脾肿大和中度蛋白尿;另一例有肾病综合征范围内的严重蛋白尿。1例患者为回结肠疾病,另1例疾病局限于回肠末端。2例患者的肾功能均正常。1例患者通过肝活检确诊,另1例肾病综合征患者通过重复肾活检确诊。1例患者接受了回结肠切除术,无并发症。对克罗恩病患者进行淀粉样变性筛查很重要。