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一名非洲女性以难治性腹泻为表现的淋巴细胞性结肠炎:病例报告及文献复习

Lymphocytic colitis presenting as difficult diarrhoea in an African woman: a case report and review of the literature.

作者信息

Ekrikpo Udeme E, Otegbayo Jesse A, Oluwasola Abideen O

机构信息

Department of Medicine, University College Hospital, PMB 5116, Ibadan, Nigeria.

出版信息

J Med Case Rep. 2010 Jan 29;4:31. doi: 10.1186/1752-1947-4-31.

Abstract

INTRODUCTION

Lymphocytic colitis is an uncommon intestinal disorder that presents with chronic diarrhoea. It is treatable, but in the developing world, its diagnosis may often prove difficult. Data and reports of this condition in Africa are scarce because most medical centres lack a functional gastrointestinal endoscopy unit that would aid in the diagnosis.

CASE PRESENTATION

We present the case of a 53-year-old Nigerian woman with pathogen-negative chronic diarrhoea and a family history of chronic diarrhoea. She responded well to treatment after colonoscopy and colonic biopsy successfully diagnosed her illness.

CONCLUSION

Referral of patients with pathogen-negative chronic diarrhoea to medical centres that have facilities for colonoscopy and biopsy is important in the developing world.

摘要

引言

淋巴细胞性结肠炎是一种罕见的肠道疾病,表现为慢性腹泻。它是可治疗的,但在发展中国家,其诊断往往很困难。非洲关于这种疾病的数据和报告很少,因为大多数医疗中心缺乏有助于诊断的功能性胃肠内镜检查设备。

病例介绍

我们报告一例53岁尼日利亚女性病例,她患有病原体阴性的慢性腹泻且有慢性腹泻家族史。结肠镜检查和结肠活检成功诊断出她的疾病后,她对治疗反应良好。

结论

在发展中国家,将病原体阴性的慢性腹泻患者转诊至有结肠镜检查和活检设备的医疗中心很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59d0/2827430/cb9521fa69eb/1752-1947-4-31-1.jpg

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