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克罗恩病表现为弥漫性腹部淋巴结病和静脉血栓形成的非典型临床表现：一例难以诊断的病例

Atypical Clinical Presentation of Crohn's Disease as Diffuse Abdominal Lymphadenopathy and Venous Thrombosis: A Difficult to Diagnose Case.

作者信息

Raza Ahmad, Chan Vincent, Cheema Muhammad Arslan

机构信息

Internal Medicine, Abington Hospital-Jefferson Health, Abington, USA.

出版信息

Cureus. 2019 Sep 30;11(9):e5805. doi: 10.7759/cureus.5805.

DOI:10.7759/cureus.5805
PMID:31720195
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6823068/
Abstract

Crohn's disease (CD) is an inflammatory bowel disease with clinical manifestations that are more variable than those of ulcerative colitis. It can manifest with a wide range of gastrointestinal as well as extra-intestinal symptoms and at times it becomes difficult to diagnose because of presenting variability. Here we present a case of a young male who presented with diffuse abdominal lymphadenopathy with abdominal vein thrombosis and found to have CD.

摘要

克罗恩病（CD）是一种炎症性肠病，其临床表现比溃疡性结肠炎更为多样。它可表现出广泛的胃肠道及肠外症状，有时由于表现的多样性而难以诊断。在此，我们报告一例年轻男性病例，该患者表现为弥漫性腹部淋巴结病伴腹部静脉血栓形成，最终被诊断为克罗恩病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72f5/6823068/5d8cd238454e/cureus-0011-00000005805-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72f5/6823068/1dab51dd6f0a/cureus-0011-00000005805-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72f5/6823068/adadb5394dde/cureus-0011-00000005805-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72f5/6823068/884b2a3c022a/cureus-0011-00000005805-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72f5/6823068/5d8cd238454e/cureus-0011-00000005805-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72f5/6823068/1dab51dd6f0a/cureus-0011-00000005805-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72f5/6823068/adadb5394dde/cureus-0011-00000005805-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72f5/6823068/884b2a3c022a/cureus-0011-00000005805-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72f5/6823068/5d8cd238454e/cureus-0011-00000005805-i04.jpg

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引用本文的文献

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Am J Case Rep. 2023 Nov 30;24:e941399. doi: 10.12659/AJCR.941399.

本文引用的文献

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Detailed Multi-Dimensional Assessment of Fatigue in Inflammatory Bowel Disease.炎症性肠病疲劳的详细多维评估
Inflamm Intest Dis. 2019 Apr;3(4):192-201. doi: 10.1159/000496054. Epub 2019 Mar 15.
2
Clinically Significant Small Bowel Crohn's Disease Might Only be Detected by Capsule Endoscopy.胶囊内镜可能仅能发现临床显著的小肠克罗恩病。
Inflamm Bowel Dis. 2018 Jun 8;24(7):1566-1574. doi: 10.1093/ibd/izy048.
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Elevated Faecal Calprotectin Levels are a Reliable Non-Invasive Screening Tool for Small Bowel Crohn's Disease in Patients Undergoing Capsule Endoscopy.
粪便钙卫蛋白水平升高是接受胶囊内镜检查患者小肠克罗恩病可靠的非侵入性筛查工具。
Dig Dis. 2018;36(3):202-208. doi: 10.1159/000485375. Epub 2018 Feb 21.
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From symptom to diagnosis: clinical distinctions among various forms of intestinal inflammation.从症状到诊断：各种肠道炎症形式的临床鉴别
Gastroenterology. 2004 May;126(6):1518-32. doi: 10.1053/j.gastro.2004.02.072.
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The prevalence of extraintestinal diseases in inflammatory bowel disease: a population-based study.炎症性肠病肠外疾病的患病率：一项基于人群的研究。
Am J Gastroenterol. 2001 Apr;96(4):1116-22. doi: 10.1111/j.1572-0241.2001.03756.x.
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Crohn's disease presenting as septic thrombophlebitis of the portal vein (pylephlebitis): case report and review of the literature.以门静脉脓毒性血栓性静脉炎（门静脉炎）为表现的克罗恩病：病例报告及文献复习
Am J Gastroenterol. 1999 Mar;94(3):847-9. doi: 10.1111/j.1572-0241.1999.00959.x.
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Superior mesenteric venous thrombosis masquerading as Crohn's disease.伪装成克罗恩病的肠系膜上静脉血栓形成
Am J Gastroenterol. 1994 Jan;89(1):116-8.