급성 출혈성 대장염으로 오인된 궤양성 대장염 1예
Ulcerative Colitis Mimicking Acute Hemorrhagic Colitis
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Ulcerative colitis (UC) is a chronic inflammatory disorder of the gastrointestinal tract that affects the large bowel. Its etiology remains controversial. However, an infectious or immunologic origin is considered the primary cause. The onset of UC is typically slow and insidious, but some patients may present acutely with symptoms mimicking infectious colitis. We report a case of ulcerative colitis mimicking acute hemorrhagic colitis at initial presentation. A 60-year-old man was referred to Yeungnam University Hospital for bloody diarrhea and abdominal pain. Sigmoidoscopy revealed mildly edematous mucosa in the rectum and hyperemic mucosa with petechiae in the sigmoid colon. The patient was treated with antibiotics for several days, and his symptoms improved. However, after one month, his bloody diarrhea relapsed. Follow-up sigmoidoscopy revealed mucosal friability in the rectum and sigmoid colon. He was diagnosed with ulcerative colitis, and his symptoms were improved with mesalazine and a steroid enema.
Abstract
Ulcerative colitis (UC) is a chronic inflammatory disorder of the gastrointestinal tract that affects the large bowel. Its etiology remains controversial. However, an infectious or immunologic origin is considered the primary cause. The onset of UC is typically slow and insidious, but some patients may present acutely with symptoms mimicking infectious colitis. We report a case of ulcerative colitis mimicking acute hemorrhagic colitis at initial presentation. A 60-year-old man was referred to Yeungnam University Hospital for bloody diarrhea and abdominal pain. Sigmoidoscopy revealed mildly edematous mucosa in the rectum and hyperemic mucosa with petechiae in the sigmoid colon. The patient was treated with antibiotics for several days, and his symptoms improved. However, after one month, his bloody diarrhea relapsed. Follow-up sigmoidoscopy revealed mucosal friability in the rectum and sigmoid colon. He was diagnosed with ulcerative colitis, and his symptoms were improved with mesalazine and a steroid enema.
참고문헌 (7)
- Su C, "Sleisenger and Fordtran's gastrointestinal and liver disease: pathophysiology, diagnosis, management", pp.2499~2516 (2006), Saunders
- Satsangi J, "The genetics of inflammatory bowel disease", Gut, 40(5), pp.572~574 (1997)
- Pimentel M, "Identification of a prodromal period in Crohn's disease but not ulcerative colitis", Am J Gastroenterol, 95(12), pp.3458~3462 (2000)
- Both H, "Clinical appearance at diagnosis of ulcerative colitis and Crohn’s disease in a regional patient group", Scand J Gastroenterol, 18(7), pp.987~991 (1983)
- 최규용, "궤양성대장염(Ulcerative colitis, UC)의내시경 소견", 대한소화기내시경학회 세미나, 19, pp.47~54 (1998)
- Nikolaus S, "Diagnostics of inflammatory bowel disease", Gastroenterology, 133(5), pp.1670~1689 (2007)
- Gascía Rodríguez LA, "Acute gastroenteritis is followed by an increased risk of inflammatory bowel disease", Gastroenterology May, 130(6), pp.1588~1594 (2006)