Gold-induced enterocolitis. Case report and literature review.
A case of gold-induced enterocolitis and a review of the literature are reported. Gold-induced enterocolitis appears to be an uncommon reaction, occurring in middle-aged females who have received low doses of gold preparations. Symptoms may include fever, nausea, vomiting, abdominal cramps, and diarrhea with or without blood. The whole of the gastrointestinal tract may be involved and fatal cases occur. The diagnosis of a primary enteropathic arthropathy may be suggested. Cessation of gold, glucocorticoids and supportive therapy are indicated. The mechanism of the reaction is still unknown.
D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000328:Adult; D001172:Arthritis, Rheumatoid / Q000150:complications* / Q000188:drug therapy; D004761:Enterocolitis, Pseudomembranous / Q000139:chemically induced*; D005260:Female; D006046:Gold / Q000008:administration & dosage / Q000009:adverse effects; D006052:Gold Sodium Thiomalate / Q000009:adverse effects*; D006801:Humans; D008875:Middle Aged
D000305:Adrenal Cortex Hormones; D006052:Gold Sodium Thiomalate; D006046:Gold