Multiple Colon Ulcers with Typical Small Intestinal Lesions Induced by Non-Steroidal Anti-Inflammatory Drugs
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- Akashi Momoko
- Department of Gastroenterology and Hematology, Faculty of Medicine, University of Toyama, Japan
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- Ando Takayuki
- Department of Gastroenterology and Hematology, Faculty of Medicine, University of Toyama, Japan
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- Hamashima Takeru
- Department of Pathology, Graduate School of Medicine and Pharmaceutical Sciences, University of Toyama, Japan
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- Yoshita Hiroki
- Department of Gastroenterology and Hematology, Faculty of Medicine, University of Toyama, Japan
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- Nanjo Sohachi
- Department of Gastroenterology and Hematology, Faculty of Medicine, University of Toyama, Japan
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- Mihara Hiroshi
- Department of Gastroenterology and Hematology, Faculty of Medicine, University of Toyama, Japan
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- Fujinami Haruka
- Department of Gastroenterology and Hematology, Faculty of Medicine, University of Toyama, Japan
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- Kajiura Shinya
- Department of Gastroenterology and Hematology, Faculty of Medicine, University of Toyama, Japan
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- Nishikawa Jun
- Department of Gastroenterology and Hematology, Faculty of Medicine, University of Toyama, Japan
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- Miura Yoshiaki
- Department of Gastroenterology and Hematology, Faculty of Medicine, University of Toyama, Japan
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- Hosokawa Ayumu
- Department of Gastroenterology and Hematology, Faculty of Medicine, University of Toyama, Japan
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- Sugiyama Toshiro
- Department of Gastroenterology and Hematology, Faculty of Medicine, University of Toyama, Japan
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抄録
The diagnosis of NSAID-induced colon ulcers is difficult when the distribution or endoscopic findings are not typical. An 83-year-old woman was transferred to our hospital for hemorrhagic diarrhea. Colonoscopy showed multiple ulcers in the entire colon, particularly longitudinal ulcers in the transverse colon. These were unusual for NSAID-induced colopathy, although she had been on meloxicam. However, capsule endoscopy revealed multiple scars and erosions, characteristic of NSAIDs users. The final diagnosis was NSAID-induced enteropathy, and all lesions were in remission after meloxicam discontinuation. We herein emphasize the value of an endoscopic assessment of the entire digestive tract in the diagnosis of NSAID-induced mucosal lesions.<br>
収録刊行物
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- Internal Medicine
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Internal Medicine 54 (16), 1995-1999, 2015
一般社団法人 日本内科学会