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杜林疱疹样皮炎病例中的胃肠道免疫母细胞肉瘤(网状细胞肉瘤)(作者译)

[Immunoblastic sarcoma (reticulum-cell sarcoma) of the gastro-intestinal tract in a case of dermatitis herpetiformis Duhring (author's transl)].

作者信息

Gebbers J O, Otto H F, Müller-Wieland K

出版信息

Dtsch Med Wochenschr. 1977 Feb 18;102(7):242-7. doi: 10.1055/s-0028-1104872.

Abstract

In a 43-year-old man who for 20 years was known to have dermatitis herpetiformis there co-existed, since 1974, a "dermatogenic enteropathy" with gastro-intestional symptoms. Several small-intestine biopsies demonstrated severe partial to subtotal villous atrophy with crypt hyperplasia, as seen in gluten-sensitive enteropathy. At post-mortem there was an immunoblastic sarcoma - so-called reticulum-cell sarcoma - in the upper jejunum and abdominal lymph-nodes, which was presumably the immediate complication of the sprue-like lesions of the small intestines.

摘要

一名43岁男性,患疱疹样皮炎20年,自1974年起出现伴有胃肠道症状的“致皮性肠病”。多次小肠活检显示严重的部分至全绒毛萎缩伴隐窝增生,如同麸质敏感性肠病所见。尸检时,在空肠上段和腹部淋巴结发现了免疫母细胞肉瘤,即所谓的网状细胞肉瘤,推测这是小肠类口炎性腹泻样病变的直接并发症。

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