Das Bibhuti B, Dodson Morgan, Guzman Angel
Division of Pediatric Cardiology, Texas Children's Hospital, Austin Specialty Care, Austin, Texas, USA.
Ann Pediatr Cardiol. 2020 Jul-Sep;13(3):256-259. doi: 10.4103/apc.APC_16_20. Epub 2020 Jul 2.
Extraintestinal manifestations are common complications of inflammatory bowel disease (IBD), whereas the recurrent pericarditis during remission of Crohn's disease is rarely reported. Chest pain developed in a 13-year-old adolescent male who had a history of Crohn's colitis since 9 years of age and was in remission for 4 years after treatment with infliximab, adalimumab, and vedolizumab. Physicians should be aware of the pericardial involvement in patients with a history of IBD. The literature on pericardial involvement in Crohn's disease is reviewed with emphasis on the management of recurrent pericardial effusion in the pediatric age group.
肠外表现是炎症性肠病(IBD)的常见并发症,而克罗恩病缓解期出现复发性心包炎的情况鲜有报道。一名13岁的青春期男性出现胸痛,他自9岁起就患有克罗恩结肠炎,在用英夫利昔单抗、阿达木单抗和维得利珠单抗治疗后已缓解4年。医生应意识到有炎症性肠病病史的患者可能出现心包受累情况。本文回顾了有关克罗恩病心包受累的文献,重点关注小儿复发性心包积液的治疗。