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肠病性关节炎伴结核性结肠炎:病例报告

Enteropathic Arthritis Accompanied by Tuberculous Colitis: A Case Report.

作者信息

Ramadan Agung Sandi, Nugroho Cahyo Wibisono

机构信息

Study Program of Internal Medicine, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia.

Department of Internal Medicine, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia.

出版信息

Gastro Hep Adv. 2024 Oct 16;4(3):100571. doi: 10.1016/j.gastha.2024.10.011. eCollection 2025.

Abstract

Enteropathic arthritis (EnA) is a type of spondyloarthritis with inflammatory bowel disease, such as ulcerative colitis and Crohn's disease, which is challenging to differentiate from tuberculous colitis. Patients with EnA living in endemic tuberculosis have a high risk of tuberculosis infection (tuberculous colitis), which triggers a recurrent increase in disease activity. Discontinuation of corticosteroid therapy in EnA and early start to antituberculosis drugs are recommended in the patients. Complete treatment of tuberculosis helps improve the prognosis of tuberculous colitis. Patient compliance in treatment plays a crucial role in managing tuberculous colitis exacerbated by EnA in endemic areas.

摘要

肠病性关节炎(EnA)是一种伴有炎症性肠病(如溃疡性结肠炎和克罗恩病)的脊柱关节炎,与结核性结肠炎难以鉴别。生活在结核病流行地区的EnA患者发生结核感染(结核性结肠炎)的风险很高,这会引发疾病活动的反复增加。建议这些患者停用EnA的皮质类固醇治疗并尽早开始抗结核药物治疗。结核病的彻底治疗有助于改善结核性结肠炎的预后。在流行地区,患者的治疗依从性对于管理由EnA加重的结核性结肠炎至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52aa/11871437/11eae24ab62c/gr1.jpg

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