title: Case report: Fatal acute exacerbation of usual interstitial pneumonia in ulcerative colitis.
abstract: Pulmonary involvement in ulcerative colitis may manifest as a variety of disorders. Ulcerative colitis-related interstitial lung disease is exceedingly rare and has been reported to be steroid-responsive. We describe the first case of a patient with acute exacerbation of ulcerative colitis-induced usual interstitial pneumonia, who did not respond to corticosteroid therapy and died 12 weeks after the onset of pulmonary symptoms. Early recognition of pulmonary disease in patients with ulcerative colitis is necessary to initiate further diagnostic work-up and may aid treatment decisions.
authors.affiliation: Department of Radiology, Klinikum rechts der Isar, Technical University Munich, Ismaningerstrasse 22, 81675 Munich, Germany.
authors.forename: K
authors.initials: K
authors.lastname: Marten
authors.forename: F
authors.initials: F
authors.lastname: Fend
authors.forename: H
authors.initials: H
authors.lastname: Hautmann
authors.forename: M
authors.initials: M
authors.lastname: Kremer
authors.forename: E J
authors.initials: EJ
authors.lastname: Rummeny
authors.forename: C
authors.initials: C
authors.lastname: Engelke
mesh_terms: D000208:Acute Disease; D000368:Aged; D003093:Colitis, Ulcerative / Q000150:complications / Q000000981:diagnostic imaging*; D017809:Fatal Outcome; D005938:Glucocorticoids / Q000008:administration & dosage; D006801:Humans; D007275:Injections, Intravenous; D017563:Lung Diseases, Interstitial / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000209:etiology; D008297:Male; D011239:Prednisolone / Q000008:administration & dosage; D014057:Tomography, X-Ray Computed
chemical_list: D005938:Glucocorticoids; D011239:Prednisolone