Descos L
Service d'hépato-gastroentérologie, Centre hospitalier Lyon Sud, Pierre-Bénite.
Rev Prat. 1991 Feb 11;41(5):415-8.
Since inflammation is an unlimited process, it is not surprising to find that inflammatory bowel diseases have extra-intestinal manifestations involving the digestive system itself (hepatic or, more rarely, pancreatic manifestations) or peripheral organs and tissues (osteoarticular, cutaneous and ophthalmological manifestations). Some of these manifestations may be concomitant with intestinal symptoms or they may precede or succeed them. One may also observe manifestations of infectious, mechanical or metabolic origin (biliary stones, urinary stones) or of nutritional origin, notably in Crohn's disease which may be iatrogenic. A better knowledge of these non-intestinal pathologies can lead to an earlier diagnosis of inflammatory bowel disease and therefore to a more rational treatment.
由于炎症是一个无限制的过程,因此发现炎症性肠病有肠外表现并不奇怪,这些表现涉及消化系统本身(肝脏或更罕见的胰腺表现)或外周器官和组织(骨关节、皮肤和眼科表现)。其中一些表现可能与肠道症状同时出现,也可能先于或后于肠道症状出现。还可能观察到感染性、机械性或代谢性起源(胆结石、尿路结石)或营养性起源的表现,特别是在克罗恩病中,可能是医源性的。对这些肠道外病变的更好了解可以导致炎症性肠病的更早诊断,从而实现更合理的治疗。