医学
结肠镜检查
血管炎
泼尼松龙
灌肠
腹痛
内科学
外科
胃肠病学
皮肤病科
疾病
结直肠癌
癌症
作者
Masayuki Inoh,Michiaki Tokuda,Takayuki Maruoka,Makoto Kinashi,Noriyuki Kurata,Masato Okawa,Jiro Takahara
出处
期刊:PubMed
日期:1995-06-01
卷期号:35 (3): 585-8
摘要
A 25-year-old female with Sjögren's syndrome was admitted to our hospital because of fever and abdominal pain. Multiple colonic ulcers were demonstrated by gastrographin enema and colonoscopy. Histological examination revealed the presence of necrotizing vasculitis in the submucosal region. Large dose of prednisolone (60 mg/day) brought a prompt relief of her symptoms and an improvement of positive inflammatory signs. Pseudoaneurysm in the arteria colica media, which had been demonstrated by abdominal selective angiography at the time of diagnosis, became extinct after the steroid treatment. Healing of ulcers were also noted by colonoscopy. A variety of extraglandular symptoms has been reported in Sjögren's syndrome. Multiple colonic ulcers due to vasculitis are rarely complicated but may have a great impact on the prognosis of the disease.
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