EXACERBATION OF ULCERATIVE-COLITIS DURING ALPHA-INTERFERON THERAPY FOR CHRONIC HEPATITIS-C

被引:37
作者
MITORO, A
YOSHIKAWA, M
YAMAMOTO, K
MIMURA, M
YOSHIKAWA, Y
SHIROI, A
MOCHI, T
SAKAMOTO, T
YAMAO, J
KIKUCHI, E
FUKUI, H
TSUJII, T
机构
[1] Department of Gastroenterology, Hattori Memorial Hospital, Kitakatsuragi-gun Nara
[2] Third Department of Internal Medicine, Nara Medical University, Kashihara Nara
关键词
SULFASALAZINE; AUTOIMMUNE DISORDERS;
D O I
10.2169/internalmedicine.32.327
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We report a 34-year-old man with chronic hepatitis C who showed exacerbation of ulcerative colitis during alpha-interferon (IFNalpha) therapy. Discontinuance of the IFNalpha therapy improved his symptoms, suggesting that IFNalpha administration might worsen ulcerative colitis. The administration of sulfasalazine allowed the patient to receive IFNalpha again without flare-up of ulcerative colitis. This case suggests the possible efficacy of sulfasalazine therapy in patients with ulcerative colitis complicated by some other diseases requiring IFNalpha administration.
引用
收藏
页码:327 / 331
页数:5
相关论文
共 24 条
[11]  
Fiocchi C., Tubbs R.R., Youngman K.R., Human intestinal mucosal mononuclear cells exhibit lymphokine-activated killer cell activity, Gastroenterology, 88, (1985)
[12]  
Shanahan F., Brogan M., Targan S., Human mucosal cytotoxic effector cells, Gastroenterology, 92, (1951)
[13]  
Targan S., Britvan L., Kendall R., Vimadalal S., Sol A., Isolation of spontaneous and interferon inducible natural killer like cells from human colonic mucosa: lysis of lymphoid and autologous epithelial target cells, Clin Exp Immunol, 54, (1983)
[14]  
Roche J.K., Fiocchi C., Youngman K., Sensitization to epithelial antigens in chronic mucosal inflammatory disease. Characterization of human intestinal mucosa-derived mononuclear cells reactive with purified epithelial cell-associated components in vitro, J Clin Invest, 75, (1985)
[15]  
Shanahan F., Deem R., Nayersina R., Leman B., Targan S., Human mucosal T-cell cytotoxicity, Gastroenterology, 94, (1988)
[16]  
Trincheieri G., Santoli D., Anti-viral activity induced by culturing lymphocytes with tumor derived or virus transformed cells, J Exp Med, 147, (1978)
[17]  
Herberman R.B., Ortaldo J.R., Bonnard G.D., Nature, 277
[18]  
Revel M., The interferon system in man, nature of the interferon molecules mode of action, Martinus Nijhoff, (1984)
[19]  
Candler R.V., Rouse B.T., Moore R.N., Regulation of interleukin 1 production by alpha and beta interferons: evidence for both direct and indirect enhancement, J Interferon Res, 5, (1985)
[20]  
Bottomly K., A functional dichotomy in CD4+ T lymphocytes, Immunol Today, 9, (1988)