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克朗凯特-加拿大综合征:一例病例报告及文献综述

Cronkhite-Canada syndrome: A case report and review of the literature.

作者信息

Ma Mingxiao, Huang Yaochan, Suo Zhimin, Ma Xuhui

机构信息

Huaihe Hospital of Henan University, Kaifeng, Henan, China.

出版信息

Ann Med Surg (Lond). 2022 Aug 6;81:104090. doi: 10.1016/j.amsu.2022.104090. eCollection 2022 Sep.

Abstract

Cronkhite -Canada Syndrome (CCS) is a rare non-hereditary disease characterized by multiple polyps in the alimentary tract and ectoderm changes, and there is no clearly diagnostic criteria and treatment methods. A 55-year-old Chinese woman was admitted to our hospital with diarrhea. She was diagnosed with Cronkhite-Canada Syndrome (CCS). The clinical symptoms of the patient included diarrhea, nausea, retching, anorexia, weight loss, and we found that she had alopecia, onychatrophy, rampant caries and skin pigmentation from the physical examination. Gastrointestinal endoscopy revealed multiple polyps in the gastric antrum, stomach body, ileocecal part and colon, and from the microscopically the polype hyperplsique was observed. The patient was treated by eradicating and regulating the intestinal flora disbalance and his diarrhea improved within a short period of time. We suggested that she should take glucocorticoids orally, but the patient refused. Follow-up at 1 year showed that the symptoms of the patient had recurred sometimes, and she had taken Chinese herbal medicine orally a few times. At present, the symptoms of diarrhea are relieved, the weight of the patient has increased, and the hair and nails of the patient have grown again. From this case, we learned CCS can be likely ignored and not be diagnosed promptly because the low morbidity of CCS.

摘要

克朗凯特-加拿大综合征(CCS)是一种罕见的非遗传性疾病,其特征为消化道多发息肉和外胚层改变,且尚无明确的诊断标准和治疗方法。一名55岁的中国女性因腹泻入院。她被诊断为克朗凯特-加拿大综合征(CCS)。患者的临床症状包括腹泻、恶心、干呕、厌食、体重减轻,体格检查发现她有脱发、甲萎缩、猖獗龋和皮肤色素沉着。胃肠内镜检查显示胃窦、胃体、回盲部和结肠有多发息肉,显微镜下观察到息肉样增生。患者通过根除和调节肠道菌群失调进行治疗,其腹泻在短时间内得到改善。我们建议她口服糖皮质激素,但患者拒绝。1年的随访显示患者症状时有复发,她曾几次口服中药。目前,腹泻症状缓解,患者体重增加,头发和指甲也再次生长。从这个病例中,我们了解到由于CCS发病率低,可能会被忽视而不能及时诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abda/9486408/05595319350a/gr1.jpg

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