Extensive arterial and venous thrombosis in a patient with ulcerative colitis--a case report.
BACKGROUND
Vascular thrombosis is a rare but well-recognized extraintestinal manifestation of ulcerative colitis. Thrombosis usually involves the peripheral veins and less commonly the cerebral veins and the arterial system.


METHODS
A case of a 22-year-old woman is reported who presented with an exacerbation of ulcerative colitis and developed extensive arterial and venous thrombosis. Good clinical improvement was achieved after treatment with steroids, sulfasalazine, and anticoagulation with enoxaparin followed by long-term warfarin.


CONCLUSIONS
Early recognition of thrombotic complications is essential in initiating lifesaving therapy.
Jain
S
S
Department of Internal Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India. sanjayvanita@yahoo.com
Bhatt
P
P
Muralikrishna
G K
GK
Malhotra
P
P
Kumari
S
S
Varma
S
S
D000328:Adult; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D000925:Anticoagulants / Q000627:therapeutic use*; D002539:Cerebral Arterial Diseases / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy*; D003093:Colitis, Ulcerative / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy*; D005260:Female; D006801:Humans; D013256:Steroids / Q000627:therapeutic use; D013927:Thrombosis / Q000175:diagnosis* / Q000188:drug therapy* / Q000209:etiology; D016896:Treatment Outcome; D020246:Venous Thrombosis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology
D000893:Anti-Inflammatory Agents; D000925:Anticoagulants; D013256:Steroids