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急性自发性恢复性溃疡性结肠炎(ARUC)。6例报告。

Acute spontaneously recovering ulcerating colitis (ARUC). Report of 6 cases.

作者信息

Bonfils S, Hervoir P, Girodet J, Le Quintrec Y, Bader J P, Gastard J

出版信息

Am J Dig Dis. 1977 May;22(5):429-36. doi: 10.1007/BF01071891.

DOI:10.1007/BF01071891
PMID:855855
Abstract

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.

摘要

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。

相似文献

1
Acute spontaneously recovering ulcerating colitis (ARUC). Report of 6 cases.急性自发性恢复性溃疡性结肠炎(ARUC)。6例报告。
Am J Dig Dis. 1977 May;22(5):429-36. doi: 10.1007/BF01071891.
2
[Acute ulcerative colitis with regressive course. Report of 4 cases in young women].[病程呈退行性的急性溃疡性结肠炎。4例年轻女性病例报告]
Arch Fr Mal App Dig. 1974 Jan-Feb;63(1):5-16.
3
[Colonic Crohn's disease and oral contraceptive (author's transl)].
Sem Hop. 1979;55(37-38):1733-5.
4
Ischemic colitis in a patient with Crohn's disease taking an oral contraceptive and an ergotamine alkaloid.一名患有克罗恩病的患者在服用口服避孕药和麦角胺生物碱时发生缺血性结肠炎。
Acta Clin Belg. 1993;48(1):48-51. doi: 10.1080/17843286.1993.11718284.
5
Inflammatory bowel disease: the surgical pathology of Crohn's disease and ulcerative colitis.炎症性肠病:克罗恩病和溃疡性结肠炎的外科病理学
Hum Pathol. 1975 Jan;6(1):7-29. doi: 10.1016/s0046-8177(75)80107-9.
6
Clinical differentiation between Crohn's disease of the colon and chronic ulcerative colitis.结肠克罗恩病与慢性溃疡性结肠炎的临床鉴别
Proc R Soc Med. 1972 Nov;65(11):972-3. doi: 10.1177/003591577206501126.
7
Generalized Pyoderma Gangrenosum Associated with Ulcerative Colitis: Successful Treatment with Infliximab and Azathioprine.与溃疡性结肠炎相关的泛发性坏疽性脓皮病:英夫利昔单抗和硫唑嘌呤治疗成功
Acta Dermatovenerol Croat. 2016 Apr;24(1):83-5.
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[Diagnosis of Crohn's regional colitis. Case report].[克罗恩病区域性结肠炎的诊断。病例报告]
Med Klin. 1973 Apr 27;68(17):560-5.
9
Factors influencing first relapse in patients with Crohn's disease.影响克罗恩病患者首次复发的因素。
J Clin Gastroenterol. 1992 Jul;15(1):12-6. doi: 10.1097/00004836-199207000-00005.
10
Increased risk of inflammatory bowel disease associated with oral contraceptive use.口服避孕药使用与炎症性肠病风险增加相关。
Am J Epidemiol. 1994 Aug 1;140(3):268-78. doi: 10.1093/oxfordjournals.aje.a117246.

引用本文的文献

1
Oral Contraceptive Use and Risk of Ulcerative Colitis Progression: A Nationwide Study.口服避孕药的使用与溃疡性结肠炎进展风险:一项全国性研究。
Am J Gastroenterol. 2016 Nov;111(11):1614-1620. doi: 10.1038/ajg.2016.464. Epub 2016 Oct 11.
2
Risk of Inflammatory Bowel Disease with Oral Contraceptives and Menopausal Hormone Therapy: Current Evidence and Future Directions.口服避孕药和绝经激素治疗与炎症性肠病的风险:当前证据与未来方向
Drug Saf. 2016 Mar;39(3):193-7. doi: 10.1007/s40264-015-0372-y.
3
Fulminant onset of Crohn's disease of the colon (CDC). An observation of six cases.

本文引用的文献

1
Ulcerative colitis and Crohn's disease.溃疡性结肠炎和克罗恩病。
Ann R Coll Surg Engl. 1952 Aug;11(2):105-20.
2
Reversible vascular occlusion of the colon.结肠可逆性血管闭塞
Surg Gynecol Obstet. 1963 Jan;116:53-60.
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Sigmoidoscopic diagnosis of reversible vascular occlusion of the colon.
Dis Colon Rectum. 1963 Mar-Apr;6:142-6. doi: 10.1007/BF02633469.
暴发性结肠克罗恩病(CDC):6例观察报告
Dig Dis Sci. 1982 Aug;27(8):731-6. doi: 10.1007/BF01393770.
4
Colonic Crohn's disease and use of oral contraception.结肠克罗恩病与口服避孕药的使用
Br Med J (Clin Res Ed). 1984 Feb 25;288(6417):595-6. doi: 10.1136/bmj.288.6417.595.
5
Chronic inflammatory bowel disease, cigarette smoking, and use of oral contraceptives: findings in a large cohort study of women of childbearing age.慢性炎症性肠病、吸烟与口服避孕药的使用:一项针对育龄女性的大型队列研究结果
Br Med J (Clin Res Ed). 1986 Apr 26;292(6528):1101-3. doi: 10.1136/bmj.292.6528.1101.
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Smoking, the oral contraceptive pill, and Crohn's disease.
Dig Dis Sci. 1991 Aug;36(8):1147-50. doi: 10.1007/BF01297463.
4
Granulomatous colitis. Roentgenologic appearance and course of the lesions.
Am J Roentgenol Radium Ther Nucl Med. 1967 Jan;99(1):35-44.
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Ischaemic colitis.缺血性结肠炎
Gut. 1966 Feb;7(1):1-15. doi: 10.1136/gut.7.1.1.
6
Early course of ulcerative colitis.溃疡性结肠炎的早期病程
Gut. 1966 Feb;7(1):16-31. doi: 10.1136/gut.7.1.16.
7
Ischemic proctitis.缺血性直肠炎
JAMA. 1968 Jul 8;205(2):74-80.
8
Clinical and pathological differentiation of Crohn's disease and proctocolitis.克罗恩病与直肠结肠炎的临床及病理鉴别
Gastroenterology. 1968 Jun;54(6):1162-70.
9
Vascular occlusion of the colon and oral contraceptives. Possible relation.
N Engl J Med. 1968 Feb 22;278(8):438-40. doi: 10.1056/NEJM196802222780807.
10
Oral contraceptives and gastrointestinal disorders.口服避孕药与胃肠道疾病
Ann Surg. 1970 Nov;172(5):892-6. doi: 10.1097/00000658-197011000-00015.