Emory University School of Medicine, Division of Hospital Medicine, Atlanta, Ga.
Emory University School of Medicine, Division of Hospital Medicine, Atlanta, Ga.
Am J Med. 2020 Jan;133(1):39-43. doi: 10.1016/j.amjmed.2019.07.007. Epub 2019 Aug 6.
Pulmonary manifestations of inflammatory bowel disease are increasingly recognized in patients with ulcerative colitis and Crohn's disease. Most commonly, incidental abnormalities are noted on chest imaging or pulmonary function tests. Although clinically significant pulmonary disease is less common, it can carry significant morbidity for patients. We review the presenting symptoms, workup, and management for several of the more common forms of inflammatory bowel disease-related pulmonary disease. Increased awareness of the spectrum of extraintestinal inflammatory bowel disease will help providers more readily recognize this phenomenon in their own patients and more comprehensively address the protean sequelae of inflammatory bowel disease.
炎症性肠病的肺部表现在溃疡性结肠炎和克罗恩病患者中越来越受到重视。最常见的是,胸部影像学或肺功能检查偶然发现异常。尽管临床上少见,但炎症性肠病相关肺部疾病可能对患者造成严重的发病率。我们回顾了几种更常见的炎症性肠病相关肺部疾病的临床表现、检查和治疗方法。提高对肠道外炎症性肠病谱的认识将有助于提供者在自己的患者中更轻易地识别这种现象,并更全面地处理炎症性肠病的多态性后遗症。