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先天性幽门闭锁与大疱性表皮松解症:罕见关联病例报告

Congenital Pyloric Atresia and Epidermolysis Bullosa: Report of a Rare Association.

作者信息

Pan Pradyumna

机构信息

Pediatric Surgery Unit, Ashish Hospital and Research Centre, Jabalpur, Madhya Pradesh, India.

出版信息

J Indian Assoc Pediatr Surg. 2021 Jul-Aug;26(4):256-258. doi: 10.4103/jiaps.JIAPS_125_20. Epub 2021 Jul 12.

Abstract

Pyloric atresia (PA) is an unusual congenital disorder that accounts for about 1% of all intestinal atresia, with an incidence around 1 in 100,000 live births. PA may occur as an isolated disorder or may be associated with epidermolysis bullosa (EB). EB comprises a heterogeneous group of cutaneous genetic diseases of inherited blistering and skin fragility disorders. Wound management in EB is complex and influenced by several comorbidities and the fragility of the skin. The prognosis of children with EB depends on the type of mutation inherited. Some types are mild and even improve with age, while others are so severe it is not likely that a child to survive into adulthood. We present three cases of PA in this article and one in conjunction with junctional EB.

摘要

幽门闭锁(PA)是一种罕见的先天性疾病,约占所有肠道闭锁病例的1%,发病率约为每10万例活产中有1例。PA可能作为一种孤立性疾病出现,也可能与大疱性表皮松解症(EB)相关。EB是一组遗传性水疱和皮肤脆性疾病组成的异质性皮肤遗传病。EB的伤口处理很复杂,受多种合并症和皮肤脆性的影响。EB患儿的预后取决于所遗传的突变类型。有些类型症状较轻,甚至会随着年龄增长而改善,而另一些类型则非常严重,患儿不太可能活到成年。本文介绍了3例PA病例,其中1例合并交界型EB。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04cc/8323568/1fc7314808b8/JIAPS-26-256-g001.jpg

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