奥美沙坦诱发的肠病:慢性腹泻的罕见病例。

IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL Case Reports in Medicine Pub Date : 2024-12-19 eCollection Date: 2024-01-01 DOI:10.1155/carm/2666671
Sofia Emerenciano Gurgel, Kleyton Santos de Medeiros, Sarah Jane Lima de Paiva, José Gurgel Filho
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引用次数: 0

摘要

该病例涉及一名63岁高血压男性,服用降压药(奥美沙坦)两年,因大量腹泻求医,每天发作几次,体重减轻10公斤。他被提交了一系列的诊断程序,没有阐明和经验治疗的结果不成功。患者住院治疗后临床稳定,十二指肠活检显示十二指肠萎缩,腹腔疾病标志物阴性,诊断为疑似奥美沙坦诱发的肠病,停药后腹泻迅速改善,6个月后体重恢复,10个月后十二指肠组织学图恢复正常。
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Olmesartan-Induced Enteropathy: A Rare Case of Chronic Diarrhea.

The case involves a 63-year-old hypertensive man, taking antihypertensive medication (olmesartan) for the previous two years, who sought medical attention due to voluminous diarrhea, with several episodes per day and weight loss of 10 kg. He was submitted to a series of diagnostic procedures without elucidation and empirical treatment with unsuccessful outcome. After hospitalization for clinical stabilization and for presenting with duodenal atrophy, obtained by duodenal biopsy associated with negative markers for celiac disease, the patient was diagnosed with suspected olmesartan-induced enteropathy, showing rapid improvement of diarrhea after the drug was withdrawn, with weight regain in 6 months and normalization of the duodenal histological picture after 10 months.

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来源期刊
Case Reports in Medicine
Case Reports in Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
1.70
自引率
0.00%
发文量
53
审稿时长
13 weeks
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