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題 名 | Association of Collagenous Colitis and Gluten Sensitive Enteropathy: A Further Cause of Failure to Respond to Gluten Withdrawal=膠原性大腸炎及殼膠過敏腸病先後或同時存在:減殼膠食療失敗原因之一種 |
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作 者 | 陳瑜珍; | 書刊名 | 中華民國消化系醫學雜誌 |
卷 期 | 15:3 1998.09[民87.09] |
頁 次 | 頁1-7 |
分類號 | 415.556 |
關鍵詞 | 膠原性大腸炎; 穀膠過敏腸病; Collagenous colitis; Gluten sensitive enteropathy; |
語 文 | 英文(English) |
中文摘要 | 穀膠過敏腸病治療方法為減穀膠食療,此類食療失敗原因甚多。本篇是討論四年 半內之六例病人有腹瀉症狀,大、小腸切片診斷先後或同時患有穀膠過敏腸病及膠原性大腸 病灶。三例膠原厚度超過 10 um,確認為膠原性大腸。另三例厚度由 8.3 至 9.6 um,超過 正常厚度甚多,診斷為進行性的膠原性大腸炎。五例女性,一例男性,平均年齡 67 歲。四 例先診斷為穀膠過敏腸病,病人經身療後腹瀉症狀減輕,隔一段時間後復發,大腸切片檢驗 發現有厚膠原層。壹例兩病同時驗出。壹例先診斷為膠原性大腸炎,其後發現有穀膠過敏腸 病。病人患有二病的相關因素並不確定。結論為在穀膠過敏腸病食療失敗之病人應考慮膠原 性大腸炎同時存在的可能性,病人如有水性腹瀉加上貧血或消化不良,亦應考慮二病是否同 時存在。 |
英文摘要 | Six patients with both thick colonic subepithelial collagen bands (SCB) and gluten sensitive enteropathy (GSE) are reported. All the patients had diarrhea. The thickness of collagen bands in three cases were more than 10 um, diagnostic of collagenous colitis (CC). The other three cases where 8.3 to 9.6 um in thickness, much thicker than normal, diagnostic for developing CC. Five of them were female and one was mele. The mean age was 67. In four cases GSE was diagnosed first and the patients partially responded to gluten withdrawal diet. All of the four patients showed relapse of diarrhea follow by colonic biopsies showing thick subepithelial collagen bands. In one case the GSE and CC were diagnosed at the same time. In the last case the diagnosis of CC was made before GSE. The nature of association between the two diseases remains obscure. The possiblity of CC should be considered when celiac disease fails to respond completely to gluten withdrawal diet. In cases of watery diarrhea with anemia or malabsorption, the possibility of both CC and GSE should be rule out. |
本系統中英文摘要資訊取自各篇刊載內容。