上強膜炎および結節性紅斑を合併した潰瘍性大腸炎の1例 Episcleritis and erythema nodosum in a patient with ulcerative colitis

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著者

    • 前川 智 MAEKAWA Satoshi
    • 産業医科大学消化器・代謝内科 Third Department of Internal Medicine (Gastroenterology and Metabolism), University of Occupational and Environmental Health, Japan, School of Medicine
    • 芳川 一郎 YOSHIKAWA Ichiro
    • 産業医科大学消化器・代謝内科 Third Department of Internal Medicine (Gastroenterology and Metabolism), University of Occupational and Environmental Health, Japan, School of Medicine
    • 山崎 雅弘 YAMASAKI Masahiro
    • 産業医科大学消化器・代謝内科 Third Department of Internal Medicine (Gastroenterology and Metabolism), University of Occupational and Environmental Health, Japan, School of Medicine
    • 久米 惠一郎 KUME Keiichiro
    • 産業医科大学消化器・代謝内科 Third Department of Internal Medicine (Gastroenterology and Metabolism), University of Occupational and Environmental Health, Japan, School of Medicine
    • 上田 城久朗 KANDA Kikuo
    • 産業医科大学消化器・代謝内科 Third Department of Internal Medicine (Gastroenterology and Metabolism), University of Occupational and Environmental Health, Japan, School of Medicine
    • 木原 康之 KIHARA Yasuyuki
    • 産業医科大学消化器・代謝内科 Third Department of Internal Medicine (Gastroenterology and Metabolism), University of Occupational and Environmental Health, Japan, School of Medicine
    • 田代 充生 TASHIRO Mitsuo
    • 産業医科大学消化器・代謝内科 Third Department of Internal Medicine (Gastroenterology and Metabolism), University of Occupational and Environmental Health, Japan, School of Medicine
    • 大槻 眞 OTSUKI Makoto
    • 産業医科大学消化器・代謝内科 Third Department of Internal Medicine (Gastroenterology and Metabolism), University of Occupational and Environmental Health, Japan, School of Medicine

抄録

症例は62歳女性.42歳時に潰瘍性大腸炎(UC)を発症し,以降再燃緩解を繰り返していたが,今回のUC再燃時に右上強膜炎と両下腿の結節性紅斑を発症した.ステロイド投与と顆粒球吸着療法で,UCが臨床的緩解するとともに,上強膜炎と結節性紅斑も軽快した.UCの腸管外合併症として上強膜炎と結節性紅斑を同時に併発した症例は,本邦ではこれまで報告例がなく,非常にまれである.<br>

A 62-year-old Japanese woman with ulcerative colitis (UC) had episcleritis and erythema nodosum. Oral administration of corticosteroid with granulocytapheresis improved all these diseases. Extraintestinal manifestations such as ocular and skin complications are infrequent, especially in Japan, in patients with UC. Although concurrent onset of episcleritis and erythema nodosum associated with UC is also extremely rare, clinical course in this case suggests a possible association among ulcerative colitis, episcleritis and erythema nodosum.<br>

収録刊行物

  • 日本消化器病學會雜誌 = The Japanese journal of gastro-enterology  

    日本消化器病學會雜誌 = The Japanese journal of gastro-enterology 105(5), 686-691, 2008-05-05 

    The Japanese Society of Gastroenterology

参考文献:  21件

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各種コード

  • NII論文ID(NAID)
    10021271416
  • NII書誌ID(NCID)
    AN00192124
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    04466586
  • データ提供元
    CJP書誌  J-STAGE 
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