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幽门螺杆菌的肠外表现:简要综述

Extraintestinal manifestations of Helicobacter pylori: a concise review.

作者信息

Wong Frank, Rayner-Hartley Erin, Byrne Michael F

机构信息

Frank Wong, Erin Rayner-Hartley, Michael F Byrne, Division of Gastroenterology, University of British Columbia, Vancouver, BC V5Z 1M9, Canada.

出版信息

World J Gastroenterol. 2014 Sep 14;20(34):11950-61. doi: 10.3748/wjg.v20.i34.11950.

Abstract

Helicobacter pylori (H. pylori) infection has been clearly linked to peptic ulcer disease and some gastrointestinal malignancies. Increasing evidence demonstrates possible associations to disease states in other organ systems, known as the extraintestinal manifestations of H. pylori. Different conditions associated with H. pylori infection include those from hematologic, cardiopulmonary, metabolic, neurologic, and dermatologic systems. The aim of this article is to provide a concise review of the evidence that supports or refutes the associations of H. pylori and its proposed extraintestinal manifestations. Based on data from the literature, PUD, mucosal associated lymphoid tumors lymphoma, and gastric adenocarcinoma has well-established links. Current evidence most supports extraintestinal manifestations with H. pylori in immune thrombocytopenic purpura, iron deficiency anemia, urticaria, Parkinson's, migraines and rosacea; however, there is still plausible link with other diseases that requires further research.

摘要

幽门螺杆菌(H. pylori)感染已明确与消化性溃疡疾病及某些胃肠道恶性肿瘤相关。越来越多的证据表明,它可能与其他器官系统的疾病状态有关,即幽门螺杆菌的肠外表现。与幽门螺杆菌感染相关的不同病症包括来自血液、心肺、代谢、神经和皮肤系统的病症。本文的目的是简要综述支持或反驳幽门螺杆菌及其拟议的肠外表现之间关联的证据。根据文献数据,消化性溃疡病、黏膜相关淋巴组织肿瘤淋巴瘤和胃腺癌已确立了相关联系。目前的证据最支持幽门螺杆菌与免疫性血小板减少性紫癜、缺铁性贫血、荨麻疹、帕金森病、偏头痛和玫瑰痤疮等肠外表现有关;然而,与其他疾病仍可能存在联系,需要进一步研究。

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