Pleuropericarditis and disseminated intravascular coagulation in ulcerative colitis

被引:24
作者
Orii, S [1 ]
Chiba, T [1 ]
Nakadate, I [1 ]
Fujiwara, T [1 ]
Ito, N [1 ]
Ishii, M [1 ]
Oana, S [1 ]
Chida, T [1 ]
Kudara, N [1 ]
Terui, T [1 ]
Yamaguchi, T [1 ]
Suzuki, K [1 ]
机构
[1] Iwate Med Univ, Sch Med, Dept Internal Med 1, Morika, Japan
关键词
IBD; extraintestinal manifestation; pleuropericarditis; DIC; ulcerative colitis;
D O I
10.1097/00004836-200103000-00017
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
We report a 30-year-old woman with pleuropericarditis, cardiac tamponade, and disseminated intravascular coagulation complicating active ulcerative colitis (UC). Other autoimmune diseases were not present. She responded to pulsed steroid therapy and anticoagulant with resolution of the complication and UC. We reviewed the literature and found 27 cases of pleuropericarditis associated with idiopathic inflammatory bowel disease (IBD). It has been reported that pleuropericarditis associated with IBD responds well to nonsteroidal antiinflammatory drugs, as well as steroids. The causes of cardiac involvement in IBD remain unclear, but the pleuropericarditis must be recognized as a potential extraintestinal manifestation of IBD.
引用
收藏
页码:251 / 254
页数:4
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