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小儿炎症性肠病的肠外表现及药物性心肌炎和心包炎综述

A Review of Extraintestinal Manifestations & Medication-Induced Myocarditis and Pericarditis in Pediatric Inflammatory Bowel Disease.

作者信息

Cesa Kevin, Cunningham Catherine, Harris Tyler, Sunseri Whitney

机构信息

Pediatric Gastroenterology, Hepatology, and Nutrition, University of Pittsburgh Medical Center (UPMC) Children's Hospital of Pittsburgh (CHP), Pittsburgh, USA.

Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, USA.

出版信息

Cureus. 2022 Jun 27;14(6):e26366. doi: 10.7759/cureus.26366. eCollection 2022 Jun.

Abstract

Inflammatory bowel disease (IBD) is a systemic disorder where extraintestinal symptoms may involve virtually any organ system. Of these extraintestinal symptoms, those involving the heart are relatively rare but associated with significant morbidity. We reviewed the existing literature on noninfectious myocarditis and pericarditis in the pediatric IBD population, including extraintestinal manifestations (EIMs) of IBD and extraintestinal complications (EICs) from medication. We focused on the incidence, presentation, diagnosis, treatment, and outcomes for timely diagnosis and management of these potentially deadly diseases. In addition, we aim to identify and highlight the gaps in current knowledge for future studies and investigations.

摘要

炎症性肠病(IBD)是一种全身性疾病,其肠外症状几乎可能累及任何器官系统。在这些肠外症状中,累及心脏的症状相对少见,但会导致明显的发病率。我们回顾了关于儿科IBD患者中非感染性心肌炎和心包炎的现有文献,包括IBD的肠外表现(EIMs)和药物引起的肠外并发症(EICs)。我们重点关注这些潜在致命疾病的发病率、表现、诊断、治疗以及及时诊断和管理的结果。此外,我们旨在识别并突出当前知识中的空白,以供未来的研究和调查参考。

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