Multiple strictures of the small intestine after long-term nonsteroidal anti-inflammatory drug therapy.
A 60-yr-old female patient with rheumatoid arthritis presented with nonsteroidal anti-inflammatory drug (NSAID)-induced ileal ulcers which caused intestinal bleeding and multiple strictures. Results of investigations, including radiological, pathological, and bacteriological examinations, were not consistent with Crohn's disease or intestinal tuberculosis. Rather, the lesion was characteristic of "diaphragm disease" caused by NSAIDs. Discontinuance of NSAIDs in combination with administration of ornoprostil (prostaglandin E1-derivative), sucralfate, and sulfasalazine put an end to the intestinal bleeding. This is a rate case of a patient with multiple strictures of the small intestine caused by NSAIDs.
Matsuhashi
N
N
Third Department of Internal Medicine, Faculty of Medicine, University of Tokyo, Japan.
Yamada
A
A
Hiraishi
M
M
Konishi
T
T
Minota
S
S
Saito
T
T
Sugano
K
K
Yazaki
Y
Y
Mori
M
M
Shiga
J
J
D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000009:adverse effects* / Q000627:therapeutic use; D001172:Arthritis, Rheumatoid / Q000188:drug therapy; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000139:chemically induced / Q000150:complications; D006801:Humans; D007077:Ileal Diseases / Q000209:etiology* / Q000473:pathology*; D007082:Ileum / Q000473:pathology*; D008875:Middle Aged; D013997:Time Factors; D014456:Ulcer / Q000139:chemically induced / Q000150:complications / Q000473:pathology
D000894:Anti-Inflammatory Agents, Non-Steroidal