克隆氏症(Crohn disease, CD)和潰瘍性結腸炎(ulcerative colitis, UC)之比較,下列何者最適當?
A直腸出血(rectal bleeding):CD>UC
B毒性巨結腸症(toxic megacolon):CD>UC
C透壁式侵犯(transmural involvement):CD>UC正確答案
D壞疽性膿皮症(pyoderma gangrenosum):CD>UC
答案與詳解
正解。CD 的病理特徵就是「transmural(透壁式)」侵犯,從黏膜一路穿透到漿膜層,故易產生瘻管、狹窄、膿瘍;UC 僅限黏膜與黏膜下層。
