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以结肠黏膜炎症为首发表现的白塞病合并小血管炎病程迁延。

Prolonged small vessel vasculitis with colon mucosal inflammation as first manifestations of Behçet's disease.

作者信息

Yang Xiao-Ning, Ye Zhen-Shi, Fan Yan-Yun, Hu Yi-Qun

机构信息

Xiao-Ning Yang, Zhen-Shi Ye, Yan-Yun Fan, Yi-Qun Hu, Department of Gastroenterology, Zhongshan Hospital Xiamen University, Xiamen 361004, Fujian Province, China.

出版信息

World J Gastroenterol. 2014 Apr 14;20(14):4110-4. doi: 10.3748/wjg.v20.i14.4110.

Abstract

Behçet's disease is a chronic, relapsing, systemic vasculitis of unknown aetiology. Patients present manifestations of gastrointestinal complications, including mouth lesions, small and large intestinal lesions, and vascular lesions in the abdomen. In some cases, the intestinal ulcers of patients with Behçet's disease are indistinguishable from those of Crohn's disease, tuberculosis, vasculitis and other diseases. In this article, we present a case of atypical Behçet's disease with a complicated medical history and multisystem damage, for the purpose of better management of this disease.

摘要

白塞病是一种病因不明的慢性、复发性全身性血管炎。患者会出现胃肠道并发症的表现,包括口腔病变、小肠和大肠病变以及腹部血管病变。在某些情况下,白塞病患者的肠道溃疡与克罗恩病、结核病、血管炎等疾病的肠道溃疡难以区分。在本文中,我们介绍了一例具有复杂病史和多系统损害的非典型白塞病病例,以便更好地管理这种疾病。

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本文引用的文献

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Adamantiades-Behcet's disease-complicated gastroenteropathy.贝赫切特病合并胃肠病变。
World J Gastroenterol. 2012 Feb 21;18(7):609-15. doi: 10.3748/wjg.v18.i7.609.
4
EULAR recommendations for the management of Behçet disease.欧洲抗风湿病联盟(EULAR)关于白塞病管理的建议。
Ann Rheum Dis. 2008 Dec;67(12):1656-62. doi: 10.1136/ard.2007.080432. Epub 2008 Jan 31.
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Enteroclysis findings of intestinal Behcet disease: a comparative study with Crohn disease.
Abdom Imaging. 2003 May-Jun;28(3):308-12. doi: 10.1007/s00261-002-0036-0.
8
Behçet's disease.白塞病。
N Engl J Med. 1999 Oct 21;341(17):1284-91. doi: 10.1056/NEJM199910213411707.

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