RT Journal
A1 MASUDA HH, OZEKI TT
T1 COexistence of pyoderma gangrenosum and arteritis in ulcerative colitis
JF Archives of Internal Medicine
JO Archives of Internal Medicine
YR 1989
FD May 1
VO 149
IS 5
SP 1226
OP 1226
DO 10.1001/archinte.1989.00390050170046
UL http://dx.doi.org/10.1001/archinte.1989.00390050170046
AB To the Editor.—We read with interest the article by Danzi1 in the February 1988 issue of the Archives in which extraintestinal manifestations of idiopathic inflammatory bowel disease was reviewed. Recently, we experienced a case of ulcerative colitis with unusual findings.Report of a Case.—A 22-year-old man had diarrhea, malaise, and a fever, and was admitted to the hospital. Barium enema examination demonstrated involvement of the entire colon, with a complete lack of haustration and total colonic narrowing. A colonofiberscopic examination revealed that the mucosa was uneven, hyperemic, and bled easily. Microscopically, biopsy specimens from different levels of the rectum and colon showed chronic inflammation with proliferation of granulation tissues and infiltration of leukocytes; crypt abscesses were also observed. He was diagnosed as having ulcerative colitis (total colitis), and was treated conservatively with oral administration of prednisolone and sulfasalazine. Two months later he was markedly improved, and he