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药丸性食管炎引起的胸痛:维生素C的一种罕见副作用。

Chest pain from pill-induced esophagitis: A rare side effect of ascorbic acid.

作者信息

Zhang Yu, Tong Yarong, Wang Weihong, Xu Lei

机构信息

College of Medicine, Ningbo University, Ningbo, China.

Department of Gastroenterology, Ningbo First Hospital, Ningbo, China.

出版信息

SAGE Open Med Case Rep. 2018 May 10;6:2050313X18775004. doi: 10.1177/2050313X18775004. eCollection 2018.

Abstract

Pill-induced esophagitis is a rare cause of acute chest pain. Patients likely to be affected are those with underlying esophageal disorders, those who ingest medications without a sufficient amount of water, or adopt a supine position during or shortly after swallowing medication. Esophagitis secondary to ingestion of ascorbic acid pills is extremely rare. Here, we report a case of ascorbic acid-induced esophagitis in a middle-aged adult, with no known underlying pathological abnormalities of the esophagus. Diagnosis was made based on the history and endoscopic findings. The patient fully recovered and an esophageal ulcer healed after discontinuation of ascorbic acid.

摘要

药物性食管炎是急性胸痛的罕见病因。易受影响的患者包括患有潜在食管疾病的人、服药时饮水不足的人,或在服药期间或服药后不久采取仰卧位的人。因摄入维生素C片继发的食管炎极为罕见。在此,我们报告一例中年成年人维生素C诱发的食管炎病例,该患者食管无已知潜在病理异常。诊断基于病史和内镜检查结果。停用维生素C后,患者完全康复,食管溃疡愈合。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f84/5952283/b77ad1e32b8d/10.1177_2050313X18775004-fig1.jpg

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