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肠病性肢端皮炎中的可逆性肠黏膜异常。

Reversible intestinal mucosal abnormality in acrodermatitis enteropathica.

作者信息

Kelly R, Davidson G P, Townley R R, Campbell P E

出版信息

Arch Dis Child. 1976 Mar;51(3):219-22. doi: 10.1136/adc.51.3.219.

DOI:10.1136/adc.51.3.219
PMID:952555
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1545906/
Abstract

In 3 cases of acrodermatitis enteropathica duodenal biopsy performed at the outset of treatment showed a similar abnormality of the intestinal mucosa. Further biopsies taken during treatment showed progressive improvement of the intestinal mucosa with subsequent complete restoration of the normal cellular and villous pattern. The initial treatment was with expressed human breast milk and oral di-iodohydroxyquinoline. The latter was continued alone and later replaced by zinc sulphate. Changes in the intestinal epithelial cells and inflammatory cell infiltration of the lamina propria still detectable on di-iodohydroxyquinoline therapy reverted to normal with oral zinc.

摘要

在3例肠病性肢端皮炎患者中,治疗开始时进行的十二指肠活检显示肠黏膜存在类似异常。治疗期间进行的进一步活检显示肠黏膜逐渐改善,随后正常细胞和绒毛模式完全恢复。初始治疗采用挤出的人母乳和口服二碘羟基喹啉。后者单独持续使用,后来被硫酸锌替代。在二碘羟基喹啉治疗时仍可检测到的肠上皮细胞变化和固有层炎症细胞浸润,在口服锌后恢复正常。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4696/1545906/ec0f0886d5e3/archdisch00831-0073-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4696/1545906/38aad9605e2c/archdisch00831-0073-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4696/1545906/ec0f0886d5e3/archdisch00831-0073-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4696/1545906/38aad9605e2c/archdisch00831-0073-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4696/1545906/ec0f0886d5e3/archdisch00831-0073-b.jpg

相似文献

1
Reversible intestinal mucosal abnormality in acrodermatitis enteropathica.肠病性肢端皮炎中的可逆性肠黏膜异常。
Arch Dis Child. 1976 Mar;51(3):219-22. doi: 10.1136/adc.51.3.219.
2
The effect of zinc therapy on lysosomal inclusion bodies in intestinal epithelial cells in acrodermatitis enteropathica.锌疗法对肠病性肢端皮炎患者肠上皮细胞溶酶体包涵体的影响。
Pediatr Res. 1983 May;17(5):354-7. doi: 10.1203/00006450-198305000-00009.
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Letter: Acrodermatitis enteropathica, zinc, and ultrastructural lesions in Paneth cells.信件:肠病性肢端皮炎、锌与潘氏细胞的超微结构病变
Lancet. 1976 Feb 21;1(7956):430. doi: 10.1016/s0140-6736(76)90274-9.
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Ultrastructural findings in acrodermatitis enteropathica.
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Acrodermatitis enteropathica, zinc, and the Paneth cell. A case report with family studies.
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6
Acrodermatitis enteropathica. II. Zinc deficiency and ultrastructural findings.
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Acrodermatitis enteropathica with normal serum zinc levels: diagnostic value of small bowel biopsy and essential fatty acid determination.血清锌水平正常的肠病性肢端皮炎:小肠活检和必需脂肪酸测定的诊断价值
Gut. 1989 Oct;30(10):1426-9. doi: 10.1136/gut.30.10.1426.
8
Zinc and di-iodohydroxyquinoline therapy in acrodermatitis enteropathica.锌与二碘羟基喹啉治疗肠病性肢端皮炎
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Arch Fr Pediatr. 1978 Jan;35(1):63-73.
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[Acrodermatitis enteropathica].[肠病性肢端皮炎]
Monatsschr Kinderheilkd (1902). 1979 May;127(5):316-8.

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本文引用的文献

1
Acrodermatitis enteropathica.肠病性肢端皮炎
Proc R Soc Med. 1962 Mar;55(3):240. doi: 10.1177/003591576205500321.
2
Acrodermatitis enteropathica. Case report and review of literature.肠病性肢端皮炎。病例报告及文献复习。
Am J Dis Child. 1963 Mar;105:285-91.
3
Intestinal biopsy in childhood.儿童期肠道活检
锌在自闭症和神经系统疾病的肠脑相互作用中的作用
Neural Plast. 2015;2015:972791. doi: 10.1155/2015/972791. Epub 2015 Mar 23.
4
Roles of zinc in the pathophysiology of acute diarrhea.锌在急性腹泻发病机制中的作用。
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Zinc deficiency and its inherited disorders -a review.锌缺乏及其遗传性疾病——综述。
Genes Nutr. 2006 Mar;1(1):41-9. doi: 10.1007/BF02829935.
6
Preservation of intestinal structural integrity by zinc is independent of metallothionein in alcohol-intoxicated mice.锌对酒精中毒小鼠肠道结构完整性的保护作用独立于金属硫蛋白。
Am J Pathol. 2004 Jun;164(6):1959-66. doi: 10.1016/S0002-9440(10)63756-X.
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Zinc supplementation in the treatment of childhood diarrhoea.锌补充剂用于治疗儿童腹泻。
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Acrodermatitis enteropathica.肠病性肢端皮炎
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9
Zinc plasma levels after oral zinc tolerance test in nonalcoholic cirrhosis.非酒精性肝硬化患者口服锌耐量试验后的血浆锌水平
Dig Dis Sci. 1988 Sep;33(9):1096-102. doi: 10.1007/BF01535784.
10
Acrodermatitis enteropathica with normal serum zinc levels: diagnostic value of small bowel biopsy and essential fatty acid determination.血清锌水平正常的肠病性肢端皮炎:小肠活检和必需脂肪酸测定的诊断价值
Gut. 1989 Oct;30(10):1426-9. doi: 10.1136/gut.30.10.1426.
Arch Dis Child. 1973 Jun;48(6):480-2. doi: 10.1136/adc.48.6.480.
4
Mucosa of the small intestine in folate-deficient alcoholics.叶酸缺乏的酗酒者小肠的黏膜。
Ann Intern Med. 1972 Jun;76(6):957-65. doi: 10.7326/0003-4819-76-6-957.
5
Acrodermatitis enteropathica. A clinical and biochemical survey.
Arch Dermatol. 1974 Nov;110(5):711-21. doi: 10.1001/archderm.110.5.711.
6
Letter: Acrodermatitis enteropathica: a lethal inherited human zinc-deficiency disorder.信函:肠病性肢端皮炎:一种致命的遗传性人类锌缺乏症。
Lancet. 1974 Aug 17;2(7877):399-400. doi: 10.1016/s0140-6736(74)91772-3.