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药物性回肠疾病:克罗恩病鉴别诊断中的一种新病症。

Drug-induced ileal disease: a new entity in the differential diagnosis of Crohn's disease.

作者信息

Kirsch M

机构信息

University MEDNET, Mentor, Ohio.

出版信息

South Med J. 1994 Apr;87(4):546-8. doi: 10.1097/00007611-199404000-00027.

DOI:10.1097/00007611-199404000-00027
PMID:8153791
Abstract

Ileal disease in the United States is usually caused by Crohn's disease. Accumulating reports, however, show that nonsteroidal anti-inflammatory drugs (NSAIDs) may cause ileal and colonic inflammation and strictures that may mimic inflammatory bowel disease and other conditions. A patient is described with weight loss, loose stools, and terminal ileal disease, all of which resolved after discontinuing an NSAID. Clinicians must become familiar with the expanding clinical and radiological spectrum of NSAID gastrointestinal tract toxicity.

摘要

在美国,回肠疾病通常由克罗恩病引起。然而,越来越多的报告显示,非甾体抗炎药(NSAIDs)可能会导致回肠和结肠炎症及狭窄,这些症状可能会模仿炎症性肠病和其他病症。本文描述了一名出现体重减轻、腹泻及末端回肠疾病的患者,在停用非甾体抗炎药后,所有症状均得到缓解。临床医生必须熟悉非甾体抗炎药胃肠道毒性不断扩展的临床和放射学表现。

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