Unal Aydin, Sipahioglu Murat Hayri, Akgun Hulya, Yurci Alper, Tokgoz Bulent, Erkilic Kuddusi, Oymak Oktay, Utas Cengiz
Department of Nephrology, Erciyes University Medical School, Kayseri, Turkey.
Intern Med. 2008;47(2):103-7. doi: 10.2169/internalmedicine.47.0287. Epub 2008 Jan 15.
Extraintestinal manifestations of Crohn's disease are common. Granulomas may occur in different tissues in Crohn's disease, although kidney granulomas are extremely rare. Although ocular complications of Crohn's disease are infrequent, most ocular manifestations include iritis, uveitis, episcleritis, scleritis, and conjunctivitis. Central retinal vein occlusion has been reported in a few patients with Crohn's disease. The choroidal neovascularization is related to inflammatory disorders such as panuveitis, sarcoidosis. We report a patient with Crohn's disease complicated by granulomatous interstitial nephritis, choroidal neovascularization, and central retinal vein occlusion.
克罗恩病的肠外表现很常见。肉芽肿可能出现在克罗恩病的不同组织中,尽管肾脏肉芽肿极为罕见。虽然克罗恩病的眼部并发症并不常见,但大多数眼部表现包括虹膜炎、葡萄膜炎、巩膜外层炎、巩膜炎和结膜炎。少数克罗恩病患者曾有中央视网膜静脉阻塞的报道。脉络膜新生血管形成与全葡萄膜炎、结节病等炎症性疾病有关。我们报告1例克罗恩病并发肉芽肿性间质性肾炎、脉络膜新生血管形成和中央视网膜静脉阻塞的患者。