Medicine · 2018
Ulcerative colitis in an adult patient mimicking Henoch-Schönlein purpura: A case report.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Lu Bin, Niu Li-Li, Xu Xi-Guang, Yao Shu-Lan, Tan Xing-You
Аннотация
RATIONALE: Ulcerative colitis (UC) is one of the chronic inflammatory diseases of the intestinal tract. UC being misdiagnosed as Henoch-Schönlein purpura (HSP) in the elderly has seldom been reported about.
PATIENT CONCERNS: A 64-year-old man was admitted to the hospital with petechiae and palpable purpura in lower limbs and abdominal pain for about 1 month.
DIAGNOSES: Colonoscopy demonstrated severe inflammation in the colon, mucosal congestion, and edema, and multiple hemorrhages and ulcerations, with purulent adhesions. A histopathologic examination of the colon biopsies revealed extensive infiltration of immune cells and mucosal ulcerations in the intestine. UC was diagnosed.
INTERVENTIONS: The patient was treated with prednisone (1.0 mg/kg/d) with progressive dose reduction.
OUTCOMES: The skin lesions were healed within 4 weeks, and his abdominal pain was alleviated remarkably. He is currently under follow-up.
LESSONS: As the treatment used for patients with HSP was not effective, it was advised that UC should be taken into consideration.
PATIENT CONCERNS: A 64-year-old man was admitted to the hospital with petechiae and palpable purpura in lower limbs and abdominal pain for about 1 month.
DIAGNOSES: Colonoscopy demonstrated severe inflammation in the colon, mucosal congestion, and edema, and multiple hemorrhages and ulcerations, with purulent adhesions. A histopathologic examination of the colon biopsies revealed extensive infiltration of immune cells and mucosal ulcerations in the intestine. UC was diagnosed.
INTERVENTIONS: The patient was treated with prednisone (1.0 mg/kg/d) with progressive dose reduction.
OUTCOMES: The skin lesions were healed within 4 weeks, and his abdominal pain was alleviated remarkably. He is currently under follow-up.
LESSONS: As the treatment used for patients with HSP was not effective, it was advised that UC should be taken into consideration.