用植物性饮食治疗克罗恩病——一例报告

Stewart D Rose
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引用次数: 0

摘要

克罗恩病是出了名的难治,这个病人也不例外。患者通常接受多种药物和手术治疗,其中大多数药物都有明显的副作用。这是一个63岁男性的案例研究,他在1988年首次被诊断出患有克罗恩病。在过去的三十年里,他经历了持续的疼痛,慢性腹泻和慢性疲劳。肠外表现包括口疮性口炎、关节痛(尤其是膝盖和臀部)、湿疹和葡萄膜炎。他的合并症包括带状疱疹,免疫抑制加重,严重的疱疹后神经痛和双耳噪音性听力丧失。患者同时伴有良性前列腺肥大和憩室病。尽管进行了全面的治疗,但患者仍然有非常明显的症状,药物副作用和生活质量差。2017年5月,患者选择了植物性饮食。在两个月内,症状得到了显著改善。三个月后,患者能够停止使用所有免疫抑制药物。一年后,患者报告除雷尼替丁150mg 2次/天和洛哌丁10mg/天用于术后切除治疗外,无其他症状需要用药。疲劳、疼痛、腹泻和所有的肠道外症状几乎都消失了。病人报告说生活质量有了很大的改善。
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Treating Crohn’s Disease with a Plant-Based Diet – a Case Report
Crohn’s disease is notoriously difficult to treat and this patient was no exception. Patients are typically treated with a wide range of drugs, most of which have significant side effects, and surgery. This is a case study of a 63-yr old male, who was first diagnosed with Crohn’s disease in 1988. Over the past thirty years, he experienced persistent pain, chronic diarrhea and chronic fatigue. Extraintestinal manifestations included aphthous stomatitis, arthralgia especially in the knees and hips, eczema and uveitis. His comorbidities included shingles, exacerbated by immunosuppression, severe post herpetic neuralgia, and noise-induced hearing loss of both ears. The patient also has benign prostatic hypertrophy and diverticulosis. Despite the full range of treatment, the patient remained with very significant symptoms, medication side effects and poor quality of life. In May 2017, the patient chose to go on a plant-based diet. Within two months, significant improvements in symptoms resulted. After three months, the patient was able to discontinue all immunosuppressant drugs. After one year, the patient reports no symptoms requiring medications other than ranitidine 150mg 2x/day and loperamide 10mg/day needed for post op management of resections. Fatigue, pain, diarrhea and all extraintestinal manifestations have virtually been eliminated. The patient reports a very large improvement in quality of life.
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