Bonfils S, Hervoir P, Girodet J, Le Quintrec Y, Bader J P, Gastard J
Am J Dig Dis. 1977 May;22(5):429-36. doi: 10.1007/BF01071891.
Six patients each with an extensive ulcerating colitis are reported. Common features were a febrile nonbloody diarrhea; radiological involvement of the whole colon with superficial ulcerations and preservation of haustra, and integrity of the terminal ileum and rectum; the absence of any specific pathological finding; and, most important, the spontaneous recovery of the lesions in the absence of any treatment except sympatomatic measures. The present follow up after recovery range from 18 months to 5 years. Four cases were young women taking oral contraceptives and two patients were older. These patients with colitis could represent a new entity or could be a particular form of Crohn's disease of the colon, with delayed diagnostic pathological features.
本文报告了6例患有广泛性溃疡性结肠炎的患者。其共同特征为:发热性非血性腹泻;整个结肠在放射学上受累,有浅表溃疡,结肠袋保留,回肠末端和直肠完整;无任何特异性病理表现;最重要的是,除对症治疗外未进行任何治疗,病变仍可自发恢复。目前康复后的随访时间为18个月至5年。4例为服用口服避孕药的年轻女性,2例为老年患者。这些结肠炎患者可能代表一种新的疾病实体,也可能是结肠克罗恩病的一种特殊形式,具有延迟诊断的病理特征。