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巨细胞动脉炎处于临床缓解期的患者出现肠积气。

Pneumatosis Intestinalis Developed in a Patient with Giant Cell Arteritis While in a Clinically Sustained Remission Phase.

机构信息

Center for Rheumatic Diseases, Mie University Hospital, Japan.

出版信息

Intern Med. 2022 Jul 1;61(13):2067-2072. doi: 10.2169/internalmedicine.8402-21. Epub 2021 Nov 27.

DOI:10.2169/internalmedicine.8402-21
PMID:34840228
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9334237/
Abstract

We herein report a patient with giant cell arteritis (GCA) who developed pneumatosis intestinalis (PI) while she was in a clinically sustained remission phase. A 79-year-old woman with GCA involving the thoracic aorta and its first branches to the posterior tibial arteries had been treated with high-dose prednisolone. Nine weeks after initiating treatment and while in clinically sustained remission with a normal CRP level, PI and pneumoperitoneum were incidentally found during scheduled positron emission tomography-computed tomography, which also revealed slight residual inflammation of GCA. This is a very rare case of PI complicated by GCA, and we discuss the possible relationships.

摘要

我们在此报告一例巨细胞动脉炎(GCA)患者,其在临床缓解期出现肠气肿(PI)。一名 79 岁女性患有累及胸主动脉及其至胫后动脉第一分支的 GCA,曾接受大剂量泼尼松龙治疗。开始治疗后 9 周,在临床缓解期且 C 反应蛋白水平正常时,在定期进行的正电子发射断层扫描-计算机断层扫描时偶然发现 PI 和气腹,同时也发现 GCA 有轻微的残留炎症。这是一例非常罕见的 GCA 合并 PI 的病例,我们讨论了可能的关系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d5d/9334237/5d5ca4868b09/1349-7235-61-2067-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d5d/9334237/4f62a0855fa6/1349-7235-61-2067-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d5d/9334237/3791db2257b1/1349-7235-61-2067-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d5d/9334237/114b82be1539/1349-7235-61-2067-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d5d/9334237/5d5ca4868b09/1349-7235-61-2067-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d5d/9334237/4f62a0855fa6/1349-7235-61-2067-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d5d/9334237/3791db2257b1/1349-7235-61-2067-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d5d/9334237/114b82be1539/1349-7235-61-2067-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d5d/9334237/5d5ca4868b09/1349-7235-61-2067-g004.jpg

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本文引用的文献

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混合性结缔组织病患者复发性良性肠壁积气症
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Pneumatosis Cystoides Intestinalis Secondary to Use of an α-Glucosidase Inhibitor.使用α-葡萄糖苷酶抑制剂继发的肠壁囊样积气症
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Pseudolipomatosis of the Colon and Cecum Followed by Pneumatosis Intestinalis.结肠和盲肠假脂肪瘤病伴发肠壁积气症
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FDG-PET/CT(A) imaging in large vessel vasculitis and polymyalgia rheumatica: joint procedural recommendation of the EANM, SNMMI, and the PET Interest Group (PIG), and endorsed by the ASNC.FDG-PET/CT(A)成像在大血管血管炎和巨细胞动脉炎中的应用:EANM、SNMMI 和 PET 兴趣小组(PIG)的联合程序建议,并得到 ASNC 的认可。
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