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脱髓鞘疾病与炎症性肠病的关联:病例系列及文献综述

Association of Demyelinating and Inflammatory Bowel Diseases: A Case Series and Overview of the Literature.

作者信息

Atmaca Murat Mert, Altiokka Uzun Güneş, Shugaiv Erkingül, Kürtüncü Murat, Eraksoy Mefküre

机构信息

Department of Neurology, İstanbul University İstanbul Faculty of Medicine, İstanbul, Turkey.

Clinic of Neurology, Tokat State Hospital, Tokat, Turkey.

出版信息

Noro Psikiyatr Ars. 2015 Sep;52(3):315-318. doi: 10.5152/npa.2015.8725. Epub 2015 Jul 7.

DOI:10.5152/npa.2015.8725
PMID:28360731
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5353069/
Abstract

Neurological complications of inflammatory bowel diseases (i.e., ulcerative colitis and Crohn's disease) can be summarized as a combination of neuromuscular manifestations, cerebrovascular and demyelinating diseases that can be seen in approximately 3% of patients. In addition, asymptomatic cerebral white matter lesions may be detected in these patients. Clustering of diseases within families may be explained by the exposure to similar environmental factors, shared genes, or complex interactions between genetic and environmental factors. Here we report an epileptic patient with Crohn's disease and cerebral white matter lesions, a family with ulcerative colitis and multiple sclerosis and two patients who have both multiple sclerosis and Crohn's disease.

摘要

炎症性肠病(即溃疡性结肠炎和克罗恩病)的神经并发症可概括为神经肌肉表现、脑血管疾病和脱髓鞘疾病的组合,约3%的患者会出现这些情况。此外,这些患者可能检测出无症状性脑白质病变。家族性疾病聚集现象可能是由于暴露于相似环境因素、共享基因,或遗传与环境因素之间的复杂相互作用所致。在此,我们报告一名患有克罗恩病和脑白质病变的癫痫患者、一个患有溃疡性结肠炎和多发性硬化症的家庭,以及两名同时患有多发性硬化症和克罗恩病的患者。

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本文引用的文献

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Neurologic complications in patients with inflammatory bowel disease: increasing relevance in the era of biologics.炎症性肠病患者的神经系统并发症:生物制剂时代日益增加的相关性。
Inflamm Bowel Dis. 2013 Mar-Apr;19(4):864-72. doi: 10.1002/ibd.23011.
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Neurologic disorders associated with inflammatory bowel disease.与炎症性肠病相关的神经系统疾病。
Eur J Neurol. 2011 Jan;18(1):138-43. doi: 10.1111/j.1468-1331.2010.03095.x.
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Cancer risk among patients with multiple sclerosis and their parents.多发性硬化症患者及其父母的癌症风险。
Neurology. 2009 Mar 31;72(13):1170-7. doi: 10.1212/01.wnl.0000345366.10455.62.
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Autoimmune diseases in patients with multiple sclerosis and their first-degree relatives: a nationwide cohort study in Denmark.多发性硬化症患者及其一级亲属中的自身免疫性疾病:丹麦的一项全国性队列研究。
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Autoimmune disease in families with multiple sclerosis: a population-based study.多发性硬化症家族中的自身免疫性疾病:一项基于人群的研究。
Lancet Neurol. 2007 Jul;6(7):604-10. doi: 10.1016/S1474-4422(07)70132-1.
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Inflammatory bowel disease: clinical aspects and established and evolving therapies.炎症性肠病:临床特征及已确立和不断发展的治疗方法
Lancet. 2007 May 12;369(9573):1641-57. doi: 10.1016/S0140-6736(07)60751-X.
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Inflammatory bowel disease: cause and immunobiology.炎症性肠病:病因与免疫生物学
Lancet. 2007 May 12;369(9573):1627-40. doi: 10.1016/S0140-6736(07)60750-8.
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Clustering of autoimmune diseases in families with a high-risk for multiple sclerosis: a descriptive study.多发性硬化症高危家庭中自身免疫性疾病的聚集性:一项描述性研究。
Lancet Neurol. 2006 Nov;5(11):924-31. doi: 10.1016/S1474-4422(06)70552-X.
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Serious infections and mortality in association with therapies for Crohn's disease: TREAT registry.克罗恩病治疗相关的严重感染与死亡率:TREAT注册研究
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