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一名患有克罗恩病性结肠炎的青少年复发性心包炎

Recurrent pericarditis in an adolescent with Crohn's colitis.

作者信息

Das Bibhuti B, Dodson Morgan, Guzman Angel

机构信息

Division of Pediatric Cardiology, Texas Children's Hospital, Austin Specialty Care, Austin, Texas, USA.

出版信息

Ann Pediatr Cardiol. 2020 Jul-Sep;13(3):256-259. doi: 10.4103/apc.APC_16_20. Epub 2020 Jul 2.

Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f4d/7437634/17c760856590/APC-13-256-g001.jpg

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