Rapidly Progressing Aseptic Abscesses in a Patient with Ulcerative Colitis
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- Yamaguchi Yoshiharu
- Department of Gastroenterology, Aichi Medical University School of Medicine, Japan
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- Nakagawa Marie
- Department of Gastroenterology, Aichi Medical University School of Medicine, Japan
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- Nakagawa Shoko
- Department of Gastroenterology, Aichi Medical University School of Medicine, Japan
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- Nagao Kazuhiro
- Department of Gastroenterology, Aichi Medical University School of Medicine, Japan
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- Inoue Satoshi
- Department of Gastroenterology, Aichi Medical University School of Medicine, Japan
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- Sugiyama Tomoya
- Department of Gastroenterology, Aichi Medical University School of Medicine, Japan
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- Izawa Shinya
- Department of Gastroenterology, Aichi Medical University School of Medicine, Japan
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- Hijikata Yasutaka
- Department of Gastroenterology, Aichi Medical University School of Medicine, Japan
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- Ebi Masahide
- Department of Gastroenterology, Aichi Medical University School of Medicine, Japan
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- Funaki Yasushi
- Department of Gastroenterology, Aichi Medical University School of Medicine, Japan
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- Ogasawara Naotaka
- Department of Gastroenterology, Aichi Medical University School of Medicine, Japan
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- Sasaki Makoto
- Department of Gastroenterology, Aichi Medical University School of Medicine, Japan
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- Kasugai Kunio
- Department of Gastroenterology, Aichi Medical University School of Medicine, Japan
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抄録
<p>Aseptic abscesses (AAs) are extraintestinal manifestations of inflammatory bowel disease (IBD). IBD-associated AAs are rare in Japan. We treated a 45-year-old man with ulcerative colitis (UC)-associated AAs. During remission, multiple progressive abscesses were detected in the spleen; he underwent splenectomy because an infectious disease was suspected. Although his condition improved temporarily after splenectomy, a large liver abscess was noted, and a diagnosis of UC-associated AAs was made. Granulocytapheresis (GCAP) and infliximab (IFX) administration resolved the abscess. This is the first reported case of UC-associated AAs in a Japanese patient treated by splenectomy, GCAP, and IFX. </p>
収録刊行物
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- Internal Medicine
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Internal Medicine 60 (5), 725-730, 2021-03-01
一般社団法人 日本内科学会