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服用奥美沙坦的患者出现显著体重减轻:一例罕见病例报告。

Significant Weight Loss in a Patient Taking Olmesartan: An Unusual Case Report.

作者信息

Makri Andromachi, Florentin Matilda, Elisaf Moses S, Liamis George

机构信息

Department of Internal Medicine, School of Medicine, University of Ioannina, Ioannina, Greece.

出版信息

Curr Drug Saf. 2019;14(3):238-241. doi: 10.2174/1574886314666190307142111.

Abstract

OBJECTIVE

Olmesartan-induced enteropathy consists a syndrome that mimics celiac disease both clinically and histologically. Cases of this entity have sporadically been reported since 2012 and are usually characterized by severe diarrhea and malabsorption, followed by significant weight loss.

CASE REPORT

Herein, we report an uncommon case of this syndrome, where weight loss preceded several months the onset of gastrointestinal symptoms.

DISCUSSION AND CONCLUSION

Physicians should be aware of unexplained weight loss in patients taking olmesartan, as prompt discontinuation of the drug may prevent the deleterious consequences of malabsorption.

摘要

目的

奥美沙坦诱发的肠病是一种在临床和组织学上都类似于乳糜泻的综合征。自2012年以来,偶尔有该病症的病例报告,其通常的特征是严重腹泻和吸收不良,随后体重显著减轻。

病例报告

在此,我们报告该综合征的一例罕见病例,体重减轻发生在胃肠道症状出现前几个月。

讨论与结论

医生应意识到服用奥美沙坦的患者出现不明原因的体重减轻,因为及时停药可能会预防吸收不良的有害后果。

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本文引用的文献

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[An unusual case of olmesartan induced enteropathy].[一例罕见的奥美沙坦诱导的肠病]
Ann Pathol. 2019 Jun;39(3):237-240. doi: 10.1016/j.annpat.2018.10.007. Epub 2019 Feb 1.
3
Olmesartan-induced enteropathy.奥美沙坦所致肠病
BMJ Case Rep. 2018 Oct 2;2018:bcr-2018-224411. doi: 10.1136/bcr-2018-224411.
4
Olmesartan-associated enteropathy. A rare but easily treatable entity.
Acta Gastroenterol Belg. 2017 Oct-Dec;80(4):541-543.
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Use of olmesartan and enteropathy outcomes: a multi-database study.使用奥美沙坦和肠病结局:一项多数据库研究。
Aliment Pharmacol Ther. 2018 Mar;47(6):792-800. doi: 10.1111/apt.14518. Epub 2018 Jan 22.
6
A Case of Olmesartan-associated Sprue-like Enteropathy.
Clin Gastroenterol Hepatol. 2018 Oct;16(10):A45-A46. doi: 10.1016/j.cgh.2017.12.015. Epub 2017 Dec 13.
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Olmesartan-Induced Sprue Like Enteropathy.奥美沙坦诱导的类口炎性腹泻样小肠病。
GE Port J Gastroenterol. 2016 Jan 14;23(2):101-105. doi: 10.1016/j.jpge.2015.12.003. eCollection 2016 Mar-Apr.

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