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维生素C缺乏:克罗恩病中一种未被充分认识的病症。

Vitamin C Deficiency: An Under-Recognized Condition in Crohn's Disease.

作者信息

Gordon Benjamin L, Galati Jonathan, Yang Stevie, Katz Philip O, Scherl Ellen J

机构信息

Department of Medicine, New York Presbyterian/Weill Cornell Medical Center, New York, NY.

Division of Gastroenterology and Hepatology, New York Presbyterian/Weill Cornell Medical Center, New York, NY.

出版信息

ACG Case Rep J. 2020 Jul 10;7(7):e00424. doi: 10.14309/crj.0000000000000424. eCollection 2020 Jul.

DOI:10.14309/crj.0000000000000424
PMID:32766366
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7357708/
Abstract

Although many nutritional deficiencies are associated with Crohn's disease (CD), vitamin C deficiency is less frequently diagnosed and reported despite its prevalence. Vitamin C deficiency may be more difficult to diagnose in patients with CD because symptoms from active CD may overlap with scurvy. Identification of the deficiency is vital, however, because treatment can lead to swift, marked resolution of symptoms. We present a patient with long-standing CD who presented with gum bleeding and was found to have scurvy.

摘要

尽管许多营养缺乏症都与克罗恩病(CD)相关,但维生素C缺乏症尽管普遍存在,却较少被诊断和报道。维生素C缺乏症在CD患者中可能更难诊断,因为活动性CD的症状可能与坏血病的症状重叠。然而,识别这种缺乏症至关重要,因为治疗可以迅速显著缓解症状。我们报告了一名患有长期CD的患者,该患者出现牙龈出血,被发现患有坏血病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bba/7357708/bf960c8e75ef/ac9-7-e00424-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bba/7357708/bf960c8e75ef/ac9-7-e00424-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bba/7357708/bf960c8e75ef/ac9-7-e00424-g001.jpg

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本文引用的文献

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Lipoprotein(a): Current Evidence for a Physiologic Role and the Effects of Nutraceutical Strategies.脂蛋白(a):生理作用的现有证据和营养策略的影响。
Clin Ther. 2019 Sep;41(9):1780-1797. doi: 10.1016/j.clinthera.2019.06.002. Epub 2019 Jul 13.
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Micronutrient deficiencies in inflammatory bowel disease: from A to zinc.炎症性肠病中的微量营养素缺乏:从 A 到锌。
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