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沙利度胺诱导术后克罗恩病内镜复发的黏膜愈合:病例报告及文献综述

Thalidomide induces mucosal healing in postoperative Crohn disease endoscopic recurrence: Case report and literature review.

作者信息

Hu Huiqin, Wang Xinying, Liu Side

机构信息

Guangdong Provincial Key Laboratory of Gastroenterology, Department of Gastroenterology, Nanfang Hospital, Southern Medical University, Guangzhou, China.

出版信息

Medicine (Baltimore). 2016 Sep;95(36):e4799. doi: 10.1097/MD.0000000000004799.

DOI:10.1097/MD.0000000000004799
PMID:27603389
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5023912/
Abstract

BACKGROUND

Thalidomide has been successful use in patients with refractory Crohn disease (CD) in recent years.

METHODS

We collected the data of a postoperative CD patient who was prescribed thalidomide to induce remission and reviewed the relevant literatures.

RESULTS

A 51-year-old female was diagnosed as CD after an urgent terminal intestinal resection and presented endoscopic recurrence despite the prophylactic treatment with azathioprine (AZA). Fortunately, she achieved mucosal healing (MH) at a low dose of thalidomide for 15 months.

CONCLUSION

Thalidomide is effective to induce MH in the postoperative CD endoscopic recurrence.

摘要

背景

近年来,沙利度胺已成功应用于难治性克罗恩病(CD)患者。

方法

我们收集了一名术后CD患者的数据,该患者服用沙利度胺以诱导缓解,并查阅了相关文献。

结果

一名51岁女性在紧急末端肠切除术后被诊断为CD,尽管使用硫唑嘌呤(AZA)进行了预防性治疗,但仍出现内镜复发。幸运的是,她在低剂量沙利度胺治疗15个月后实现了黏膜愈合(MH)。

结论

沙利度胺可有效诱导术后CD内镜复发患者实现黏膜愈合。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/acf1/5023912/15361638690e/medi-95-e4799-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/acf1/5023912/47e50c58b2ad/medi-95-e4799-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/acf1/5023912/47cccc7914ee/medi-95-e4799-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/acf1/5023912/15361638690e/medi-95-e4799-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/acf1/5023912/47e50c58b2ad/medi-95-e4799-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/acf1/5023912/47cccc7914ee/medi-95-e4799-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/acf1/5023912/15361638690e/medi-95-e4799-g003.jpg

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本文引用的文献

1
Long-term Outcomes of Thalidomide Therapy for Adults With Refractory Crohn's Disease.沙利度胺治疗成人难治性克罗恩病的长期疗效。
Clin Gastroenterol Hepatol. 2016 Jul;14(7):966-972.e2. doi: 10.1016/j.cgh.2015.10.034. Epub 2015 Nov 18.
2
Thalidomide Treatment of Pediatric Ulcerative Colitis: A New Use for an Old Drug.沙利度胺治疗小儿溃疡性结肠炎:一种旧药的新用途。
Inflamm Bowel Dis. 2015 Aug;21(8):1750-1. doi: 10.1097/MIB.0000000000000430.
3
Surgical recurrence in Crohn's disease: Are we getting better?克罗恩病的手术复发:我们是否在取得进展?
沙利度胺诱发克罗恩病患者窦性心动过缓:病例报告及文献综述
J Int Med Res. 2019 May;47(5):2228-2233. doi: 10.1177/0300060519833293. Epub 2019 Mar 5.
World J Gastroenterol. 2015 May 28;21(20):6097-100. doi: 10.3748/wjg.v21.i20.6097.
4
Systematic review: thalidomide and thalidomide analogues for treatment of inflammatory bowel disease.系统评价:沙利度胺和沙利度胺类似物治疗炎症性肠病。
Aliment Pharmacol Ther. 2015 Jun;41(11):1079-93. doi: 10.1111/apt.13181. Epub 2015 Apr 8.
5
Editorial: is thalidomide a good option for patients with refractory Crohn's disease?社论:沙利度胺对难治性克罗恩病患者是一个好的选择吗?
Aliment Pharmacol Ther. 2015 Apr;41(8):785-6. doi: 10.1111/apt.13106.
6
Long-term outcomes of thalidomide in refractory Crohn's disease.沙利度胺治疗难治性克罗恩病的长期疗效。
Aliment Pharmacol Ther. 2015 Mar;41(5):429-37. doi: 10.1111/apt.13057. Epub 2014 Dec 15.
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Prevention and treatment of postoperative Crohn's disease recurrence with anti-TNF therapy: a meta-analysis of controlled trials.抗TNF治疗预防和治疗克罗恩病术后复发:对照试验的荟萃分析
Dig Liver Dis. 2015 Mar;47(3):191-6. doi: 10.1016/j.dld.2014.11.005. Epub 2014 Nov 14.
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Consensus guidelines of ECCO/ESPGHAN on the medical management of pediatric Crohn's disease.欧洲克罗恩病和结肠炎组织/欧洲儿科胃肠病、肝病和营养学会关于儿童克罗恩病药物治疗的共识指南。
J Crohns Colitis. 2014 Oct;8(10):1179-207. doi: 10.1016/j.crohns.2014.04.005. Epub 2014 Jun 6.
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