提高儿科医生对肛门皮赘与克罗恩病早期诊断之间关联的认识。
Increasing Pediatricians' Awareness of the Association between Anal Skin Tags and Earlier Diagnosis of Crohn's Disease.
作者信息
Korelitz Burton I, Partiula Bernard, Teagle Kelly, Swaminath Arun, Schneider Judy, Ellington Martin, Stoffels Guillaume
机构信息
Inflammatory Bowel Disease Service, Division of Gastroenterology, Lenox Hill Hospital, New York, New York, USA.
Department of Medicine, Lenox Hill Hospital, New York, New York, USA.
出版信息
Inflamm Intest Dis. 2018 Nov;3(1):40-42. doi: 10.1159/000492921. Epub 2018 Oct 4.
OBJECTIVE
To seek the habits of pediatricians by which anorectal skin tags (AST) of Crohn's disease might be overlooked.
METHODS
Questionnaires were sent to pediatricians affiliated with the Northwell Health System.
RESULTS
Based on the responses, the majority of pediatricians did feel the abdomen of children presenting with abdominal pain or diarrhea but did not spread the buttocks to seek the presence of AST unless there was rectal pain, rectal bleeding, or, in some cases, loose stools.
CONCLUSIONS
The diagnosis of Crohn's disease could be made earlier when asymptomatic AST are searched for in children with gastrointestinal symptoms.
目的
探寻儿科医生可能会忽略克罗恩病肛门直肠皮赘（AST）的习惯。
方法
向北威健康系统附属的儿科医生发放问卷。
结果
根据回复，大多数儿科医生确实会触摸有腹痛或腹泻症状儿童的腹部，但不会掰开臀部查看是否存在AST，除非有直肠疼痛、直肠出血，或者在某些情况下有腹泻症状。
结论
在有胃肠道症状的儿童中寻找无症状AST时，克罗恩病的诊断可以更早做出。
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