Honma T, Asakura H
Third Department of Internal Medicine, Niigata University School of Medicine.
Nihon Rinsho. 1998 Sep;56(9):2411-6.
The main lesion of the collagen diseases involves blood-connective tissue, so every collagen disease is a accompanied by gastrointestinal bleeding to some degrees. The concept of systemic vasculitis had been confused, but recently, the criteria for each disease has been established. In addition to these vasculitis, antiphospholipid syndrome, amyloidosis, NSAIDs, steroid and secondary infection caused by the use of immunosuppressant are the candidates for the cause of gastrointestinal bleeding in the collagen diseases. In this paper, we described concisely about the gastrointestinal bleeding in SLE, RA, and systemic vasculitis.
胶原病的主要病变累及血液-结缔组织,因此每种胶原病都不同程度地伴有胃肠道出血。系统性血管炎的概念曾一度混淆,但最近,每种疾病的诊断标准已经确立。除了这些血管炎外,抗磷脂综合征、淀粉样变性、非甾体抗炎药、类固醇以及使用免疫抑制剂引起的继发感染也是胶原病中胃肠道出血的可能病因。在本文中,我们简要描述了系统性红斑狼疮、类风湿关节炎和系统性血管炎中的胃肠道出血情况。