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新诊断克罗恩病患者无菌性脾脓肿的自发消退与复发

Spontaneous Resolution and Recurrence of Aseptic Splenic Abscesses in a Patient With Newly Diagnosed Crohn's Disease.

作者信息

Hsayan Fatima I, Naboulsi Mariam, Abou Rached Antoine

机构信息

Internal Medicine - Gastroenterology, Faculty of Medical Sciences, Lebanese University, Beirut, LBN.

Internal Medicine, Faculty of Medical Sciences, Lebanese University, Beirut, LBN.

出版信息

Cureus. 2024 Dec 13;16(12):e75682. doi: 10.7759/cureus.75682. eCollection 2024 Dec.

Abstract

Aseptic splenic abscesses are rare in the early phases of Crohn's disease and are typically reported in patients with longstanding illness or uncontrolled symptoms despite medical treatment. We present a case of recurrent aseptic splenic abscesses in a young man newly diagnosed with Crohn's disease, whose illness remained well-controlled. This unique case raises questions regarding the spontaneous resolution of aseptic splenic abscesses without steroid therapy and their recurrence without acute Crohn's disease flare-ups.

摘要

无菌性脾脓肿在克罗恩病早期较为罕见,通常见于病程较长或尽管接受了药物治疗但症状仍未得到控制的患者。我们报告一例新诊断为克罗恩病的年轻男性复发性无菌性脾脓肿病例,其病情一直控制良好。这一独特病例引发了关于无菌性脾脓肿在未接受类固醇治疗情况下的自发消退以及在无克罗恩病急性发作时复发的问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6492/11729793/df84f46acbe8/cureus-0016-00000075682-i01.jpg

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