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与原发性免疫缺陷病相关的炎症性十二指肠息肉病:一例新病例报告

Inflammatory Duodenal Polyposis Associated with Primary Immunodeficiency Disease: A Novel Case Report.

作者信息

Shera Irfan Ali, Khurshid Sheikh Mudassir, Bhat Mohd Shafi

机构信息

Department of Gastroenterology, Max Super Speciality Hospital, Saket, New Delhi 110 007, India.

Department of General Surgery, Fortis Hospital, Mohali, Punjab 160 062, India.

出版信息

Case Rep Med. 2017;2017:6206085. doi: 10.1155/2017/6206085. Epub 2017 Jan 10.

Abstract

Agammaglobulinemia is a rare form of B-cell primary immunodeficiency disease characterized by reduced levels of IgG, IgA, or IgM and recurrent bacterial infections. Agammaglobulinemia is most commonly associated with diffuse nodular lymphoid hyperplasia. Duodenal polyps are a rare entity; however, due to wide use of esophagogastroduodenoscopy, incidental diagnosis of duodenal polyps appears to be increasing. Although inflammatory duodenal polyposis has been reported in the literature, its association with common variable immunodeficiency has not been reported till date to the best of our knowledge. We report a case of a 59-year-old male with chronic symptoms of agammaglobulinemia associated with inflammatory duodenal polyposis.

摘要

无丙种球蛋白血症是一种罕见的B细胞原发性免疫缺陷病,其特征为IgG、IgA或IgM水平降低以及反复发生细菌感染。无丙种球蛋白血症最常与弥漫性结节性淋巴组织增生相关。十二指肠息肉是一种罕见的病症;然而,由于食管胃十二指肠镜检查的广泛应用,十二指肠息肉的偶然诊断似乎有所增加。尽管文献中已报道过炎症性十二指肠息肉病,但据我们所知,其与常见变异型免疫缺陷的关联迄今尚未见报道。我们报告一例59岁男性,患有与炎症性十二指肠息肉病相关的慢性无丙种球蛋白血症症状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ca8/5259604/d08d4e8e06c8/CRIM2017-6206085.001.jpg

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