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[中国克朗凯特-加拿大综合征的临床特征:35例病例的荟萃分析]

[Clinical characteristics of Cronkhite-Canada syndrome in Chinese: meta-analysis of 35 cases].

作者信息

Cao Xiao-Cang, Zhou Bin, Ding Juan-Juan, Lian Jia, Lu Ning, Wang Bang-Mao

机构信息

Department of Gastroenterology of Tianjin Medical University General Hospital, Tianjin 300052, China.

出版信息

Zhonghua Yi Xue Za Zhi. 2007 Nov 27;87(44):3130-2.

Abstract

OBJECTIVE

To investigate the clinical characteristics of Chinese patients with Cronkhite-Canada syndrome (CCS).

METHODS

Relevant data of Chinese CCS patients from 1985 to 2006 were retrieved from Medline and Chinese biomedical database and a meta-analysis was conducted.

RESULTS

A total of 35 CCS cases had been reported by Chinese hospitals with the clinical characteristics of gastrointestinal polyposis with ectodermal trilogy, mainly manifested as diarrhea, bellyache, weight loss, anemia, and edema. Canceration was reported in 2 patients. Some patients had symptomatic response to combination therapy. There might be racial or regional differences in CCS susceptibility; however, such information was often neglected in the medical records at home and abroad. New techniques, such as (99)Tc(m)-HSA scan, double-balloon enteroscopy and wireless capsule endoscopy provided new information on CCS.

CONCLUSION

The clinical features of Chinese CCS patients are similar to those of the European or Japanese patients. Novel appliance, case report standardization and sharing database may promote the understanding of this rare syndrome.

摘要

目的

探讨中国克-卡综合征(CCS)患者的临床特征。

方法

从Medline和中国生物医学数据库中检索1985年至2006年中国CCS患者的相关数据,并进行荟萃分析。

结果

中国医院共报告35例CCS病例,其临床特征为伴有外胚层三联征的胃肠道息肉病,主要表现为腹泻、腹痛、体重减轻、贫血和水肿。报告有2例发生癌变。部分患者对联合治疗有症状缓解反应。CCS易感性可能存在种族或地区差异;然而,国内外病历中常忽略此类信息。新技术,如(99)锝-人血清白蛋白扫描、双气囊小肠镜和无线胶囊内镜检查为CCS提供了新信息。

结论

中国CCS患者的临床特征与欧洲或日本患者相似。新型设备、病例报告标准化和共享数据库可能会促进对这种罕见综合征的认识。

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