易误诊为克罗恩病的少见感染性肠炎  

Rare infectious enteritis easily misdiagnosed as Crohn’s disease

作　　者：国明月 唐颢[1] 陈轩馥 杨红[1] GUO Mingyue;TANG Hao;CHEN Xuanfu;YANG Hong(Department of Gastroenterology,Peking Union Medical College Hospital,Peking Union Medical College,Chinese Academy of Medical Sciences,Beijing 100730,China)

机构地区：[1]中国医学科学院北京协和医学院北京协和医院消化内科,北京100730

出　　处：《胃肠病学和肝病学杂志》2020年第9期979-982,共4页Chinese Journal of Gastroenterology and Hepatology

基　　金：国家自然科学基金(81570505,81970495);北京市自然科学基金资助项目(7202161);公益性行业科研专项项目(201502005);中国医学科学院医学与健康科技创新工程基金(2016-I2M-3-001,2019-I2M-2-007);北京协和医学院研究生创新基金(2019-1002-71)。

摘　　要：克罗恩病(Crohn’s disease,CD)是炎症性肠病(inflammatory bowel disease,IBD)的一种,我国CD患病率呈逐年上升趋势。由于CD缺乏诊断金标准,在临床中易与多种肠道疾病相误诊;感染性肠炎为常见的与CD易于相互误诊疾病之一,特别是慢性感染性肠炎,与CD很多临床特点相似,鉴别诊断尤为困难。本文主要探讨几种少见病原体引起的感染性肠炎在临床表现、影像学、内镜及组织病理学等方面与CD的异同之处,并浅谈感染继发血管炎及感染与IBD间的联系。Crohn’s disease(CD)is a sub-type of inflammatory bowel disease(IBD),with increasing prevalence in China.Multiple intestinal diseases can mimic CD due to similar clinical features of CD.Infectious enteritis is one of misdiagnosed diseases with CD.The purpose of this article was to provide an overview of similarities and difference about clinical,endoscopic,imaging and histologic features between some infectious enteritis easy to mimicking CD and CD.Besides,we discussed vasculitis related to infection and interaction between infection and CD.

关 键 词：克罗恩病 炎症性肠病 感染性肠炎 

分 类 号：R574.62[医药卫生—消化系统]