Wasmer M L, Willard M D, Helman R G, Edwards J F
Department of Small Animal Medicine and Surgery, Texas A&M University, College Station 77843, USA.
J Am Anim Hosp Assoc. 1995 Nov-Dec;31(6):463-6. doi: 10.5326/15473317-31-6-463.
A cat with chronic diarrhea was diagnosed as having duodenal lymphosarcoma on two separate sets of endoscopic biopsies. Prednisolone failed to effect any clinical improvement. However, feeding the cat with a hypoallergenic diet resulted in long-term (i.e., six months) resolution of clinical signs. Most clinicians are familiar with the possibility of mistakenly diagnosing inflammatory bowel disease when the patient has lymphosarcoma; however, this case had the opposite problem: lymphosarcoma was diagnosed histologically on two separate occasions when inflammatory bowel disease was the problem.
一只患有慢性腹泻的猫经两次独立的内镜活检被诊断为十二指肠淋巴肉瘤。泼尼松龙未能使临床症状得到任何改善。然而,给这只猫喂食低敏饮食导致临床症状长期(即六个月)缓解。大多数临床医生都熟悉患者患有淋巴肉瘤时误诊为炎症性肠病的可能性;然而,这个病例却出现了相反的问题:当问题是炎症性肠病时,在两次独立的检查中经组织学诊断为淋巴肉瘤。