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自身免疫性胃炎伴 B 型胃炎长期病程：两例报告。

Autoimmune Gastritis with a Long-term Course of Type B Gastritis: A Report of Two Cases.

机构信息

Ihara Clinic of Internal Medicine, Japan.

Department of Pathology, Shiga University of Medical Science, Japan.

出版信息

Intern Med. 2023 Mar 15;62(6):855-863. doi: 10.2169/internalmedicine.0195-22. Epub 2022 Aug 10.

DOI:10.2169/internalmedicine.0195-22
PMID:35945012
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10076145/
Abstract

Autoimmune gastritis (AIG) typically exhibits the characteristics of type A gastritis and has been classified as a separate disease from type B gastritis that corresponds to Helicobacter pylori gastritis. However, many reports have suggested the involvement of H. pylori infection in the pathogenesis of AIG. In our two cases, the patients' previous gastritis exhibited a clear pattern in which H. pylori gastritis had progressed over many years, but ultimately transitioned to AIG with its spontaneous disappearance. These findings suggest that some cases of AIG might originate from long-standing H. pylori gastritis.

摘要

自身免疫性胃炎（AIG）通常表现为 A 型胃炎的特征，已被归类为与幽门螺杆菌胃炎相对应的 B 型胃炎的一种独立疾病。然而，许多报道表明，幽门螺杆菌感染参与了 AIG 的发病机制。在我们的两个病例中，患者之前的胃炎呈现出一种明确的模式，即多年来幽门螺杆菌胃炎逐渐进展，但最终自行消失，转变为 AIG。这些发现表明，一些 AIG 病例可能源自长期的幽门螺杆菌胃炎。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/866f/10076145/d0ae91c3df27/1349-7235-62-0855-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/866f/10076145/2401982efb08/1349-7235-62-0855-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/866f/10076145/4c784cb75bdd/1349-7235-62-0855-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/866f/10076145/29b442e932f3/1349-7235-62-0855-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/866f/10076145/f3a80651c15b/1349-7235-62-0855-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/866f/10076145/9cb98bfb9c7f/1349-7235-62-0855-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/866f/10076145/d1fe723d08e8/1349-7235-62-0855-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/866f/10076145/d0ae91c3df27/1349-7235-62-0855-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/866f/10076145/2401982efb08/1349-7235-62-0855-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/866f/10076145/4c784cb75bdd/1349-7235-62-0855-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/866f/10076145/29b442e932f3/1349-7235-62-0855-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/866f/10076145/f3a80651c15b/1349-7235-62-0855-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/866f/10076145/9cb98bfb9c7f/1349-7235-62-0855-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/866f/10076145/d1fe723d08e8/1349-7235-62-0855-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/866f/10076145/d0ae91c3df27/1349-7235-62-0855-g007.jpg

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Endosc Int Open. 2021 Jan;9(1):E22-E30. doi: 10.1055/a-1287-9767. Epub 2021 Jan 1.
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Multiple Pseudopolyps Presenting as Reddish Nodules Are a Characteristic Endoscopic Finding in Patients with Early-stage Autoimmune Gastritis.
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Clin J Gastroenterol. 2024 Apr;17(2):216-221. doi: 10.1007/s12328-023-01897-5. Epub 2023 Dec 11.
多发性假息肉呈红色结节状是早期自身免疫性胃炎患者的特征性内镜表现。
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Autoimmune gastritis.自身免疫性胃炎。
Nat Rev Dis Primers. 2020 Jul 9;6(1):56. doi: 10.1038/s41572-020-0187-8.
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