Internal medicine (Tokyo, Japan) · 2019
Crohn's Disease Accompanied with Small Intestinal Extramedullary Plasmacytoma.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Hanawa Yoshinori, Higashiyama Masaaki, Horiuchi Kazuki, Ayaki Kana, Ito Suguru, Mizoguchi Akinori, Nishii Shin, Wada Akinori, Inaba Kenichi, Sugihara Nao, Furuhashi Hirotaka, Takajo Takeshi, Shirakabe Kazuhiko, Watanabe Chikako, Tomita Kengo, Komoto Shunsuke, Nagao Shigeaki, Miura Soichiro, Shimazaki Hideyuki, Takeuchi Kengo, Ueno Hideki, Hokari Ryota
Аннотация
We herein present the case of an immunocompetent 63-year-old man who had previously undergone resection of Crohn's disease (CD)-related small intestinal obstruction more than 30 years ago. He had not been receiving any medication for many years, but had recently started to suffer from ileus. A stenosed site of ileo-cecal anastomosis was identified and therefore was surgically resected, which was diagnosed as CD with small intestinal extramedullary plasmacytoma (EMP). The subsequent progression of CD was successfully controlled by anti-TNFα agents without any recurrence of EMP for over 3 years, implying the clinical benefit and safety of the biological therapy. This was the first known case of a patient who received anti-TNFα agents after a resection of small intestinal EMP accompanied with CD.