Domínguez A, Peña J M, Barbado F J, González J J, del Arco A, Vázquez J J
Servicio Medicina Interna, Hospital La Paz, Universidad Autónoma de Madrid.
An Med Interna. 1990 Jan;7(1):39-41.
3 cases of Crohn's disease whose first manifestation was fever preceding intestinal symptoms, 3, 12, and 36 months respectively, the intestinal symptoms, are presented. Apart from fever, one of our cases had multiple extraintestinal symptoms these being of pancreatic, hepatic, mucocutaneous, bone and ocular origin. We insist on the heterogeneous onset of the disease which forced the clinician to maintain this disease on the long list of prolonged febrile illnesses causes.
本文报告了3例克罗恩病患者,其首发表现为发热,分别先于肠道症状3个月、12个月和36个月出现。除发热外,我们的1例患者还有多种肠外症状,这些症状源于胰腺、肝脏、黏膜皮肤、骨骼和眼部。我们强调该病发病的异质性,这迫使临床医生将该病保留在长期发热性疾病病因的众多清单中。