高度破坏性肛周克罗恩病
Highly destructive perianal Crohn's disease.
作者信息
Shetty A K, Udall J, Schmidt-Sommerfeld E
机构信息
Department of Pediatrics, Children's Hospital of New Orleans, Louisiana, USA.
出版信息
J Natl Med Assoc. 1998 Aug;90(8):491-2.
This article reports a case of highly destructive perianal Crohn's disease in a 15-year-old boy who presented with fecal impaction and incontinence. Both upper and lower gastrointestinal tract endoscopy were unrevealing. Treatment with intravenous prednisolone and broad-spectrum antibiotics supplemented by enteral feeding with an elemental diet resulted in prompt recovery. However, healing of his perianal lesions began only after a diverting colostomy. Awareness of this uncommon entity is important because prompt recognition can lead to early institution of appropriate treatment and avoid further morbidity.
本文报道了一例15岁男孩的高度破坏性肛周克罗恩病，该男孩表现为粪便嵌塞和大便失禁。上消化道和下消化道内镜检查均未发现异常。静脉注射泼尼松龙和广谱抗生素治疗，并辅以要素饮食肠内喂养，使病情迅速恢复。然而，他的肛周病变直到行转流性结肠造口术后才开始愈合。认识到这种罕见疾病很重要，因为及时识别可促使早期采取适当治疗并避免进一步发病。
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