Kahn E I, Daum F, Aiges H W, Silverberg M
Dis Colon Rectum. 1980 May-Jun;23(4):258-62. doi: 10.1007/BF02587095.
A 13-year-old white girl with Crohn's colitis developed recurrent erythematous tender cords and nodules in the lower and upper extremities. Histologic examination of subcutaneous nodules of the right arm revealed granulomatous panarteritis of two muscular arteries in the subcutis. The patient's resected colon showed granulomatous transmural colitis without vasculitis. The association between Crohn's disease and cutaneous polyarteritis nodosa is reviewed and emphasis placed on histologic evaluation of suspicious subcutaneous nodules for correct diagnosis.
一名患有克罗恩结肠炎的13岁白人女孩在下肢和上肢反复出现红斑性压痛条索和结节。对右臂皮下结节的组织学检查显示,皮下两条肌性动脉存在肉芽肿性全动脉炎。患者切除的结肠显示为肉芽肿性透壁性结肠炎,无血管炎。本文对克罗恩病与皮肤结节性多动脉炎之间的关联进行了综述,并强调对可疑皮下结节进行组织学评估以做出正确诊断。