Rheumatoid arthritis accompanied by colonic lesions.
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.
Nagahama
T
T
Department of Gastroenterology, Fukuoka University Chikushi Hospital.
Matsui
T
T
Matsumura
M
M
Matake
H
H
Tsuda
S
S
Sakurai
T
T
Yao
T
T
Schlemper
R
R
D000368:Aged; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D001172:Arthritis, Rheumatoid / Q000150:complications* / Q000188:drug therapy; D001466:Barium Sulfate / Q000008:administration & dosage; D003093:Colitis, Ulcerative / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D003113:Colonoscopy; D003287:Contrast Media / Q000008:administration & dosage; D003937:Diagnosis, Differential; D004733:Enema; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D011239:Prednisolone / Q000627:therapeutic use; D014657:Vasculitis / Q000150:complications* / Q000188:drug therapy
D000894:Anti-Inflammatory Agents, Non-Steroidal; D003287:Contrast Media; D005938:Glucocorticoids; D001466:Barium Sulfate; D011239:Prednisolone