Rheumatoid arthritis accompanied by colonic lesions

被引：5

作者：

Nagahama, T ^{[1
]}

Matsui, T ^{[1
]}

Matsumura, M ^{[1
]}

Matake, H ^{[1
]}

Tsuda, S ^{[1
]}

Sakurai, T ^{[1
]}

Yao, T ^{[1
]}

Schlemper, R ^{[1
]}

机构：

[1] Fukuoka Univ, Chikushi Hosp, Dept Gastroenterol 1, Fukuoka 8188502, Japan

来源：

INTERNAL MEDICINE | 2000年 / 39卷 / 03期

关键词：

colonic ulcer; vasculitis; protein-losing gastroenteropathy; corticosteroids;

D O I：

10.2169/internalmedicine.39.235

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 69-year-old woman with a 6-year history of rheumatoid arthritis treated solely with an orally administered NSAID had slowly progressing persistent mild abdominal pain and diarrhea, accompanied with marked sing of inflammation as well as hypoproteinemia due to protein-losing gastroenteropathy. Examinations of the large intestine revealed variously shaped ulcerative lesions, centered around the left hemicolon, as well as luminal narrowing. The course of the disease and the shape of the lesions strongly suggested involvement of rheumatoid vasculitis; oral administration of prednisolone was effective.

引用

页码：235 / 238

页数：4

共 16 条

[1]

ADLER R H, 1962, JAMA, V180, P921

[2]

BIENENSTOCK H, 1967, ARCH INTERN MED, V199, P359

[3] SIDE-EFFECTS OF NONSTEROIDAL ANTIINFLAMMATORY DRUGS ON THE SMALL AND LARGE-INTESTINE IN HUMANS [J].

BJARNASON, I ;

HAYLLAR, J ;

MACPHERSON, AJ ;

RUSSELL, AS .

GASTROENTEROLOGY, 1993, 104 (06) :1832-1847

[4] RHEUMATOID VASCULITIS OF THE COLON PRESENTING AS PANCOLITIS [J].

BURT, RW ;

BERENSON, MM ;

SAMUELSON, CO ;

CATHEY, WJ .

DIGESTIVE DISEASES AND SCIENCES, 1983, 28 (02) :183-188

[5] IMMUNOPATHOLOGIC STUDY OF SURAL NERVES IN RHEUMATOID-ARTHRITIS [J].

CONN, DL ;

MCDUFFIE, FC ;

DYCK, PJ .

ARTHRITIS AND RHEUMATISM, 1972, 15 (02) :135-+

[6]

CRUCKSHANK B, 1954, ANN RHEUM DIS, V13, P136

[7] ULCERATION AND PERFORATION OF INTESTINE DUE TO NECROTIZING ARTERIOLITIS [J].

FINKBINER, RB ;

DECKER, JP .

NEW ENGLAND JOURNAL OF MEDICINE, 1963, 268 (01) :14-&

[8]

FUNABASHI Y, 1989, JPN J CLIN IMMUM, V12, P216

[9]

KOBAYASHI H, 1991, Stomach and Intestine (Tokyo), V26, P1247

[10] ACUTE ABDOMEN IN RHEUMATOID-ARTHRITIS DUE TO NECROTIZING ARTERITIS [J].

LINDSAY, MK ;

TAVADIA, HB ;

WHYTE, AS ;

LEE, P ;

WEBB, J .

BRITISH MEDICAL JOURNAL, 1973, 2 (5866) :592-593

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