The endoscopic and clinical features of Indigo Naturalis-associated ischemic lesions of colonic mucosa
10.3760/cma.j.issn.0578-1426.2011.08.010
- VernacularTitle:青黛相关缺血性结肠黏膜损伤的内镜及临床特点分析
- Author:
Baojun SUO
;
Liya ZHOU
;
Shigang DING
;
Yumin Lü
;
Fang GU
;
Sanren LIN
;
Yaan ZHENG
- Publication Type:Journal Article
- Keywords:
Indigo Naturalis;
Psoriasis;
Purpura,thrombocytopenic,idiopathic;
Enteroscopy;
Ischemic lesion of colon mucosa
- From:
Chinese Journal of Internal Medicine
2011;50(8):646-649
- CountryChina
- Language:Chinese
-
Abstract:
Objective By analysing the clinical features of Indigo Naturalis-associated ischemic lesion of colon mucosa to improve the precautionary and therapeutic level of the disease.Methods Thirteen patients diagnosed as Indigo Naturalis-associated ischemic lesion of colon mucosa in Peking University Third Hospital from 2005 to 2010 were reviewed.The endoscopic and clinical features were analysed.Results The 13 patients with an average age of(60.6±14.1)years old were prescribed Chinese traditional medicine containing Indigo Naturalis for psoriasis or idiopathic thrombocytopenic purpura(ITP).The ratio of males to females was 1:1.6.The typical manifestations were abdominal pain and bloody stool with watering diarrhea before bloody stool in 61.5%patients.Endoscopic and pathological characteristics were coincident with ischemic lesion and more like a chronic index.Vasodilatic medicine was effective and the average hemostatic time was(1.7±0.8)days.The prognosis was well and no recurrence was found during 3 months follow-up.Conclusions Patients having psoriasis or ITP treated with Chinese traditional medicine containing Indigo Naturalis have an inclination to colon mucosa lesions, even ischemic lesion. Careful assessment and observation before prescribing arc necessary in these patients.
