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Turner Syndrome and Inflammatory Bowel Disease： Case Report

Journal of Pharmacy and Pharmacology 2018年第2期6卷 136-139页

作者： Priscilla Pereira dos Reis ricardo fortes monteiro de castro Rafaela Costa Vieira Carolina de Paula Guimaraes Baia department of Gastroenterology and Hepatology Felicio Rocho Hospital Minas Gerais 30110-017 Brazil Specialization in Gastroenterology and Hepatology Felicio Rocho Hospital Minas Gerais 30110-017 Brazil department of Gastroenterology and Hepatology Inflammatory Bowel Disease Outpatient Clinic Felicio Rocho Hospital Minas Gerais 30110-017 Brazil

Summary: TS (Turner syndrome) is a genetic disease which affects women caused by complete or partial absence of one of the X chromosomes. This condition is related to an increase in autoimmune diseases incidence like, IBD (inflammatory bowel disease). Material and Methods: a case report of a 31 years old woman with TS hospitalized with two months of prostration, fever, rashes, nausea, vomit and diarrhea. Investigations have shown colonic mucosa inflammation, besides chronic colitis with cryptic microabscess in the anatomopathological evaluation, suggesting IBD as etiology. Treatment with mesalazine was effective in symptoms improvement. Conclusions: TS is a condition frequently associated with autoimmune diseases, including diseases of the gastrointestinal tract, such as IBDs. Recognition and early treatment of this condition leads to an improvement in the quality of life of these patients and reduces the chances of future complications.

关键词： TS inflammatory bowel diseases colitis (ulcerative)

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Feasibility and safety of autologous bone marrow mononuclear cell transplantation in patients with advanced chronic liver disease

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World Journal of Gastroenterology 2007年第7期13卷 1067-1073页

作者： Andre castro lyra Milena Botelho Pereira Soares luiz Flavio Maia da Silva Marcos Fraga fortes André Goyanna Pinheiro Silva Augusto César de Andrade Mota Sheilla A Oliveira Eduardo lorens Braga Wilson Andrade de Carvalho Bernd Genser ricardo Ribeiro dos Santos luiz Guilherme Costa lyra Hos-pital Sao Rafael Salvador Bahia Brazil Centro de Pesquisas Goncalo Moniz Fundacao Oswaldo Cruz Salvador Bahia Brazil BGStats Consulting Graz Austria

AIM: To evaluate the safety and feasibility of bone marrow cell (BMC) transplantation in patients with chronic liver disease on the waiting list for liver transplantation. METHODS: Ten patients (eight males) with chronic liver disease were enrolled to receive infusion of autologous bone marrow-derived cells. Seven patients were classified as Child-Pugh B and three as Child-Pugh C. Baseline assessment included complete clinical and laboratory evaluation and abdominal MRI. Approximately 50 ml of bone marrow aspirate was prepared by centrifugation in a ficoll-hypaque gradient. At least of 100 millions of mononuclear-enriched BMCs were infused into the hepatic artery using the routine technique for arterial chemoembolization for liver tumors. Patients were followed up for adverse events up to 4 mo. RESULTS: The median age of the patients was 52 years (range 24-70 years). All patients were discharged 48 h after BMC infusion. Two patients complained ofmild pain at the bone marrow needle puncture site. No other complications or specific side effects related to the procedure were observed. Bilirubin levels were lower at 1 (2.19 ± 0.9) and 4 mo (2.10 ± 1.0) after cell transplantation that baseline levels (2.78 ± 1.2). Albumin levels 4 mo after BMC infusion (3.73 ± 0.5) were higher than baseline levels (3.47 ± 0.5). International normalized ratio (INR) decreased from 1.48 (SD = 0.23) to 1.43 (SD = 0.23) one month after cell transplantation. CONCLUSION: BMC infusion into hepatic artery of patients with advanced chronic liver disease is safe and feasible. In addition, a decrease in mean serum bilirubin and INR levels and an increase in albumin levels are observed. Our data warrant further studies in order to evaluate the effect of BMC transplantation in patients with advanced chronic liver disease.

关键词：可行性分析安全性能自体骨髓干细胞细胞移植慢性肝疾病

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