Internal medicine (Tokyo, Japan) · 2017
Deep Ulcers in the Ileum Associated with Mycophenolate Mofetil.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Sonoda Akira, Wada Kurato, Mizukami Kazuhiro, Fukuda Kensuke, Shuto Mitsutaka, Okamoto Kazuhisa, Ogawa Ryo, Okimoto Tadayoshi, Murakami Kazunari
Аннотация
A 54-year-old man was treated with mycophenolate mofetil (MMF) after undergoing living donor renal transplantation. Two years later, he experienced repeated episodes of diarrhea, and his C-reactive protein (CRP) level was found to be 12.63 mg/dL. Ileocolonoscopy showed multiple deep, punched-out ulcers that were similar to Behçet's disease (BD) and cytomegalovirus (CMV) in the ileum. CMV infection was suspected. However, anti-cytomegalovirus agents were ineffective. The patient was subsequently diagnosed with gastrointestinal toxicity of MMF and MMF was switched to mizoribine. His symptoms improved immediately, and his CRP level normalized. Six months later, the patient's mucosa was healed.