一名尼日利亚女孩的溃疡性结肠炎：病例报告。
Ulcerative colitis in a Nigerian girl: a case report.
作者信息
Senbanjo Idowu O, Oshikoya Kazeem A, Onyekwere Charles A, Abdulkareem Fatimah B, Njokanma Olisamedua F
机构信息
Department of Paediatrics and Child Health, Lagos State University College of Medicine, PMB 21266, and Paediatrics Gastroenterology, Hepatology and Nutrition Unit, Department of Paediatrics and Child Health, Lagos State University Teaching Hospital, Ikeja, Lagos, Nigeria.
出版信息
BMC Res Notes. 2012 Oct 10;5:564. doi: 10.1186/1756-0500-5-564.
BACKGROUND
Ulcerative colitis (UC) is uncommon in the tropics and sub-tropics. We report a case of UC in a 7 year old girl whose parents were both Nigerians. This report is to alert healthcare professionals in sub-Saharan Africa that UC is not a rare health problem, especially in children.
CASE PRESENTATION
The patient presented with frequent passage of blood stained stool, abdominal pain and significant weight loss. The diagnosis was entertained after she was investigated for common causes of chronic diarrhea in our setting and the findings were negative. The patient symptoms abated after she was commenced on steroid therapy.
CONCLUSION
Under-diagnosis and misdiagnosis may account for a dearth of information on UC in African children.
背景
溃疡性结肠炎（UC）在热带和亚热带地区并不常见。我们报告一例7岁女孩患溃疡性结肠炎的病例，其父母均为尼日利亚人。本报告旨在提醒撒哈拉以南非洲的医疗保健专业人员，UC并非罕见的健康问题，尤其是在儿童中。
病例介绍
该患者出现频繁便血、腹痛和明显体重减轻。在对我们当地慢性腹泻的常见病因进行调查且结果为阴性后，才考虑该诊断。患者开始接受类固醇治疗后症状减轻。
结论
诊断不足和误诊可能是非洲儿童UC信息匮乏的原因。
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