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本文报告2例慢性炎症性肠道疾患在静止期并发急性白血病。例1:女,53岁。29岁开始出现血性腹泻,直肠镜检有弥漫性浅表性溃疡。用氯碘喹啉和可的松治疗。此后症状多次复发,经多次直肠镜检及钡剂灌肠诊断为溃疡性直肠炎。曾服酞磺噻唑并加短期氢化可的松灌肠。43岁时症状消失,直肠镜和 X 线检查均未见异常。停药定期在门诊复查。53岁时出现虚弱、疲倦、运动耐力下降及牙龈肿痛。血白细胞32,000,并有原单核细胞。骨髓50%以上是未成熟细胞,主要是幼粒细胞和/或幼单核细胞。80%以上细胞α-乙酰
This article reports 2 cases of chronic inflammatory bowel disease in quiescent acute leukemia. Example 1: Female, 53 years old. 29-year-old bloody diarrhea began, colonoscopy with diffuse superficial ulcers. Treatment with chloroiodoquinoline and cortisone. Repeated symptoms since then, after repeated colonoscopy and barium enema diagnosis of ulcerative proctitis. Had taken phthalothiazide and short-term hydrocortisone enema. Symptoms disappeared at age 43, with no abnormalities in proctoscope and X-ray. Discontinued regularly in the clinic review. 53 years old, weakness, fatigue, decreased exercise tolerance, and swollen gums. Blood leukocytes 32,000, and the original mononuclear cells. More than 50% of the bone marrow is immature cells, mainly promyelocytic and / or juvenile mononuclear cells. More than 80% of cells alpha-acetyl