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识别内脏型卡波西肉瘤(KS):避免依赖克罗恩病发作诊断的责任

Identifying Visceral Kaposi Sarcoma (KS): A Responsibility to Avoid Anchoring on the Diagnosis of a Crohn's Flare.

作者信息

Seltzer Emily S, Shenoy Shabari M, Yoon Bo Hyung, Rozenshteyn Frederick, Cavaliere Kimberly

机构信息

Internal Medicine, Mount Sinai West and Morningside, New York, USA.

Gastroenterology, Mount Sinai Beth Israel, West and Morningside, New York, USA.

出版信息

Cureus. 2023 Feb 14;15(2):e34986. doi: 10.7759/cureus.34986. eCollection 2023 Feb.

DOI:10.7759/cureus.34986
PMID:36938235
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10019902/
Abstract

The initial evaluation of reported inflammatory bowel disease (IBD) should include an assessment for immunosuppression which can broaden the differential diagnosis to include opportunistic infection as well as other processes. Here we present an exceedingly rare case of a patient with a self-reported history of Crohn's disease presenting with frequent diarrhea presumed to be a Crohn's flare, however, after further workup was found to have extensive visceral Kaposi sarcoma (KS).

摘要

对报告的炎症性肠病(IBD)进行初步评估时,应包括对免疫抑制情况的评估,这可拓宽鉴别诊断范围,将机会性感染及其他病症纳入其中。在此,我们报告一例极其罕见的病例,一名自述有克罗恩病病史的患者,因频繁腹泻就诊,最初推测为克罗恩病发作,但进一步检查后发现患有广泛内脏型卡波西肉瘤(KS)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdc3/10019902/dfe83bf4d608/cureus-0015-00000034986-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdc3/10019902/a1834a3678aa/cureus-0015-00000034986-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdc3/10019902/d1f8bc0fe61f/cureus-0015-00000034986-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdc3/10019902/3788228377d2/cureus-0015-00000034986-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdc3/10019902/dfe83bf4d608/cureus-0015-00000034986-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdc3/10019902/a1834a3678aa/cureus-0015-00000034986-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdc3/10019902/d1f8bc0fe61f/cureus-0015-00000034986-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdc3/10019902/3788228377d2/cureus-0015-00000034986-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdc3/10019902/dfe83bf4d608/cureus-0015-00000034986-i04.jpg

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本文引用的文献

1
Impact of HIV Infection on the Course of Inflammatory Bowel Disease and Drug Safety Profile: A Multicenter GETAID Study.HIV 感染对炎症性肠病病程和药物安全性特征的影响:一项 GETAID 多中心研究。
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Beijing Da Xue Xue Bao Yi Xue Ban. 2020 Apr 18;52(2):373-377. doi: 10.19723/j.issn.1671-167X.2020.02.028.
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J Crohns Colitis. 2014 Jun;8(6):443-68. doi: 10.1016/j.crohns.2013.12.013. Epub 2014 Mar 6.
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Do we still need chemotherapy for AIDS-associated Kaposi's sarcoma?我们是否仍需要化疗来治疗艾滋病相关的卡波西肉瘤?
Expert Rev Anticancer Ther. 2013 Feb;13(2):203-9. doi: 10.1586/era.12.179.
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