Clinical features of primary sclerosing cholangitis and inflammatory bowel disease / 中华内科杂志
Chinese Journal of Internal Medicine
; (12): 532-538, 2023.
Article
в Zh
| WPRIM
| ID: wpr-985957
Ответственная библиотека:
WPRO
ABSTRACT
Objective: To explore disease characteristics of primary sclerosing cholangitis (PSC) and inflammatory bowel disease (IBD) and compare the differences between PSC with and without IBD. Methods: Study design was cross sectional. Forty-two patients with PSC who were admitted from January 2000 to January 2021 were included. We analyzed their demographic characteristics, clinical manifestations, concomitant diseases, auxiliary examination, and treatment. Results: The 42 patients were 11-74(43±18) years of age at diagnosis. The concordance rate of PSC with IBD was 33.3%, and the age at PSC with IBD diagnosis was 12-63(42±17) years. PSC patients with IBD had higher incidences of diarrhea and lower incidences of jaundice and fatigue than in those without IBD (all P<0.05). Alanine aminotransferase, total bilirubin, direct bilirubin, total bile acid and carbohydrate antigen 19-9 levels were higher in PSC patients without IBD than in those with IBD (all P<0.05). The positive rates for antinuclear antibodies and fecal occult blood were higher in PSC patients with IBD than in those without IBD (all P<0.05). Patients with PSC complicated with ulcerative colitis mainly experienced extensive colonic involvement. The proportion of 5-aminosalicylic acid and glucocorticoid application in PSC patients with IBD was significantly increased compared with that of PSC patients without IBD (P=0.025). Conclusions: The concordance rate of PSC with IBD is lower at Peking Union Medical College Hospital than in Western countries. Colonoscopy screening may benefit PSC patients with diarrhea or fecal occult blood-positive for early detection and diagnosis of IBD.
Полный текст:
1
База данных:
WPRIM
Основная тема:
Cholangitis, Sclerosing
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Inflammatory Bowel Diseases
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Colitis, Ulcerative
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Cross-Sectional Studies
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Diarrhea
Пределы темы:
Adolescent
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Adult
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Child
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Humans
Язык:
Zh
Журнал:
Chinese Journal of Internal Medicine
Год:
2023
Тип:
Article