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一例伴有类风湿关节炎的硬化性肠系膜炎症。

A case of sclerosing mesenteritis with rheumatoid arthritis.

作者信息

Makdsi Fadi, Brit Michael

机构信息

Department of Medicine, University of Tennessee, College of Medicine, Chattanooga, Tennessee, USA.

出版信息

South Med J. 2010 Jan;103(1):96-7. doi: 10.1097/SMJ.0b013e3181c47b7c.

Abstract

Sclerosing mesenteritis (SM) is an uncommon disorder characterized by chronic nonspecific inflammation involving the adipose tissue of the mesentery. The etiology remains unclear. It has been reported in association with and as an initial presentation in some autoimmune diseases. Its clinical presentation and laboratory findings are typically nonspecific and definitive diagnosis usually requires biopsy or surgical excision. We report a patient with a history of rheumatoid arthritis who was found to have an intra-abdominal mass suspicious for malignancy. A biopsy revealed the diagnosis of SM.

摘要

硬化性肠系膜膜炎(SM)是一种罕见的疾病,其特征为累及肠系膜脂肪组织的慢性非特异性炎症。病因尚不清楚。已有报道称其与某些自身免疫性疾病相关,并可作为这些疾病的首发表现。其临床表现和实验室检查结果通常不具有特异性,明确诊断通常需要活检或手术切除。我们报告一例有类风湿关节炎病史的患者,该患者被发现有一个怀疑为恶性的腹腔肿块。活检确诊为硬化性肠系膜膜炎。

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