CYTOMEGALO-VIRUS ESOPHAGITIS AND GASTRITIS IN AIDS
CYTOMEGALO-VIRUS ESOPHAGITIS AND GASTRITIS IN AIDS
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DOI：
10.2214/ajr.144.6.1201
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发表时间：
1985-01-01
影响因子：
5
通讯作者：
HULNICK, DH
中科院分区：
文献类型：
--
作者：
BALTHAZAR, EJ;MEGIBOW, AJ;HULNICK, DH
本文报告4例男同性恋者获得性免疫缺陷综合征(AIDS)上消化道巨细胞病毒感染的影像特征。食道受累(3例)表现为局限性溃疡或较弥漫性食管炎，主要累及远端食道。胃部受累(2例)表现为眼底大结节状皱褶或因大量结节状轮廓缺陷而呈环状狭窄的胃窦。内窥镜检查发现粘膜糜烂、锯齿状溃疡和炎性渗出物；活检证实上皮细胞和内皮细胞中存在典型的包涵体。虽然放射学检查的结果是非特异性的，但当免疫功能低下的患者，特别是患有艾滋病的同性恋男性出现类似的异常时，应该怀疑巨细胞病毒食管炎和胃炎的诊断。
The radiographic features of cytomegalovirus involvement of the upper gastrointestinal tract in 4 homosexual men with acquired immunodeficiency syndrome (AIDS) are described. Esophageal involvement (3 cases) was demonstrated as a localized ulceration or as a more diffuse esophagitis affecting predominantly the distal esophagus. Gastric involvement (2 cases) presented as large nodular rugal folds in the fundus or as a circumferentially narrowed antrum deformed by numerous large nodular contour defects. Endoscopy revealed mucosal erosions, serpiginous ulcers and inflammatory exudate; biopsies documented the presence of typical inclusion bodies in the epithelial and endothelial cells. Although the radiographic findings are nonspecific, the diagnosis of cytomegalovirus esophagitis and gastritis should be suspected when similar abnormalities are present in immunocompromised patients, particularly homosexual men with AIDS.