淋巴细胞性结肠炎1例申报(国外英文资料).docVIP

淋巴细胞性结肠炎1例报告(国外英文资料) 1 case of lymphocytic colitis 2010-03-26 is like the valley of the valley Lymphocytic colitis is an unrecognized cause of idiopathic inflammatory colon disease associated with autoimmunity. Clinical infrequent, only 10 cases have been reported so far. We have seen one recently, the report is as follows. The patient, 34, was hospitalized on 15 September 1997 with diarrhea for 20 days. The patient was 10 ~ 20 times a day, about 30 to 80ml per dose, with a diffuse and persistent pain in the abdomen, and the use of ebulium and antibiotic treatment were ineffective. With a low back pain in the morning after 14 years, 13 years of oral anti-inflammatory pain 4 times, 25 mg each time, no stopping. The father in the family had small intestinal lymphoma. Physical examination: the upper abdomen has the light pressure pain, the anterior curvature of the lumbar vertebra, the side bend and the back stretch activity is slightly restricted, the rest is not abnormal. Laboratory examination: blood, urine, and faeces are normal. The fecal culture has no salmonella and shigella growth. Blood biochemical liver and kidney function, blood sugar, electrolyte, anti O, T3, and T4 are all normal. The protein electrophoresis is normal. Serum globulin 38.95 g/L, the blood sink 26mm/h. The rheumatoid factor, antinuclear antibody, antibody-dna antibody and antiena antibody were all negative. C-reactive protein electrophoresis (rocket) 37 mu g/L (normal 10 mu g/L), circulating immune complex (PEG to precipitate turbidimetry), 135 (80 + 31) normally, immunoglobulin (Ig) g 19.08 g/L (normal 8 ~ 16 g/L), IgM 3.31 g/L (0.50 ~ 2.20 g/L) normally, IgA is normal; Complement C3 2.06 g/L (normal 0.80 ~ 1.60 g/L), C4 0.49 g/L (normal 0.10 ~ 0.40 g/L). The X-ray showed a change in inflammation of the bilateral three sacroiliac joint, which is consistent with ankylosing spondylitis. No abnormal findings were found in barium percolate. The colonoscopy of the fiberglass was seen to see th