Cotterill J A, Hughes J P, Day J L, Paulley J W, Turk E
Postgrad Med J. 1973 Apr;49(570):268-73. doi: 10.1136/pgmj.49.570.268.
The eighteenth patient and seventh survivor with the Cronkhite-Canada syndrome is described. A remission of 9 years followed gastrectomy and steroid therapy. Findings on seventeen other patients described in the literature are reviewed. The histological features are discussed in detail. The jejunum, though macroscopically normal, showed oedema, increased vascularity and mucous gland secreting activity. The possible importance of this increased vascularity in the aetiology of this syndrome is discussed.
本文描述了第18例患克兰克-加拿大综合征(Cronkhite-Canada syndrome)的患者及第7位幸存者。胃切除术后联合类固醇治疗使病情缓解达9年。对文献中描述的其他17例患者的研究结果进行了综述,并详细讨论了组织学特征。空肠尽管肉眼观察正常,但显示有水肿、血管增多及黏液腺分泌活动增强。文中讨论了这种血管增多在该综合征病因学中可能具有的重要意义。