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一例揭示未确诊乳糜泻的罕见毛发石病例

A Rare Case of Trichobezoar Revealing Undiagnosed Celiac Disease.

作者信息

Tkak Hassnae, Hamami Amal, Elouali Aziza, Miry Nadir, Bennani Amal, Benhaddou Houssain, Babakhouya Abdeladim, Rkain Maria

机构信息

Department of Pediatrics, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Mohamed I University, Oujda, MAR.

Department of Histopathology, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Mohamed I University, Oujda, MAR.

出版信息

Cureus. 2024 Feb 9;16(2):e53919. doi: 10.7759/cureus.53919. eCollection 2024 Feb.

DOI:10.7759/cureus.53919
PMID:38465119
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10925038/
Abstract

Trichobezoar is a relatively rare condition in children, mainly observed in young girls with psychiatric disorders. While documented cases of trichobezoar associated with celiac disease exist, such occurrences remain uncommon in the literature. The association between the two can be explained either by behavioral disorders resulting from a deficiency in iron and folic acid or directly by celiac disease. Treatment is predominantly surgical, and psychological support plays a crucial role in preventing the likelihood of recurrence. We present an unusual case involving the discovery of gastric trichobezoar in a 15-year-old girl who had undiagnosed celiac disease. The condition manifested after she experienced abdominal pain and pallor.

摘要

毛发石是儿童中相对罕见的病症,主要见于患有精神疾病的年轻女孩。虽然有毛发石与乳糜泻相关的病例记载,但此类情况在文献中仍不常见。两者之间的关联可由铁和叶酸缺乏导致的行为障碍来解释,也可直接由乳糜泻来解释。治疗主要是手术治疗,心理支持对预防复发可能性起着关键作用。我们报告一例不寻常的病例,一名15岁未被诊断出患有乳糜泻的女孩被发现有胃毛发石。该病症在她出现腹痛和面色苍白后显现出来。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5578/10925038/9e1a3f5bbff5/cureus-0016-00000053919-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5578/10925038/55181d2dfb28/cureus-0016-00000053919-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5578/10925038/4e138cc1bcbc/cureus-0016-00000053919-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5578/10925038/5732a6f8ab26/cureus-0016-00000053919-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5578/10925038/6a3643adf25c/cureus-0016-00000053919-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5578/10925038/9e1a3f5bbff5/cureus-0016-00000053919-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5578/10925038/55181d2dfb28/cureus-0016-00000053919-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5578/10925038/4e138cc1bcbc/cureus-0016-00000053919-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5578/10925038/5732a6f8ab26/cureus-0016-00000053919-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5578/10925038/6a3643adf25c/cureus-0016-00000053919-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5578/10925038/9e1a3f5bbff5/cureus-0016-00000053919-i05.jpg

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