一例人类白细胞抗原（HLA）B27阳性的肠白塞病合并克罗恩病样肛瘘
A Case of Human Leukocyte Antigen (HLA) B27-Positive Intestinal Behçet's Disease with Crohn's Disease-Like Anal Fistulas.
作者信息
Kobashigawa Tsuyoshi, Nanke Yuki, Takazoe Masakazu, Iihara Kuniko, Yamanaka Hisashi, Kotake Shigeru
机构信息
Institute of Rheumatology, Tokyo Women's Medical University, Tokyo, Japan. ; Inflammatory Bowel Disease Center, Department of Internal Medicine, Social Insurance Chuo General Hospital, Tokyo, Japan.
Institute of Rheumatology, Tokyo Women's Medical University, Tokyo, Japan.
出版信息
Clin Med Insights Case Rep. 2014 Apr 27;7:13-9. doi: 10.4137/CCRep.S11807. eCollection 2014.
A 49-year-old male was admitted to our hospital with complaints of perianal pain, bloody stool, and high-grade fever due to perianal abscess. Drainage was carried out; however, the patient's complaints worsened, and biopsy findings of colonoscopy showed ulcerative colitis-like lesions. The patient was diagnosed as having Behçet's disease with intestinal involvement, did not have HLA-B51, but did have HLA-B27. We describe a case of Behcet's disease with colitis, making a differential diagnosis of inflammatory bowel disease difficult.
一名49岁男性因肛周脓肿导致肛周疼痛、便血及高热而入住我院。进行了引流；然而，患者的症状加重，结肠镜检查活检结果显示为溃疡性结肠炎样病变。该患者被诊断为肠道受累的白塞病，不具有HLA - B51，但具有HLA - B27。我们描述了一例伴有结肠炎的白塞病病例，该病例使得炎症性肠病的鉴别诊断变得困难。
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