Leucocytoclastic vasculitis in severe ulcerative colitis.
Ulcerative colitis may be associated with a number of extraintestinal skin manifestations including erythema nodosum and pyoderma gangrenosum. We describe an unusual case of a 26-year-old military pilot with ulcerative colitis and skin lesions diagnosed as leucocytoclastic vasculitis. The skin lesio...
| Publicado en: | Military Medicine Vol. 176; no. 5; pp. 581 - 584 |
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| Autores principales: | , , , , , |
| Formato: | case study Journal Article |
| Publicado: |
Oxford University Press / USA
May2011
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104805293&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104805293 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00264075 4DV jtl: Military Medicine issn: 00264075 maglogo: N pubinfo: dt: May2011 vid: 176 iid: 5 pid: 622 pub: Oxford University Press / USA artinfo: ui: 104805293 104805293 NLM21634306 2011168030 NLM21634306 104805293 ppf: 581 ppct: 3 formats: fmt: @attributes: type: P tig: atl: Leucocytoclastic vasculitis in severe ulcerative colitis. aug: au: Martin D Handler T McDermott J Martin, Donald Handler, Tristan McDermott, Joseph affil: Department of Internal Medicine, 48 MDOS/SGOMI, Unit 5210 Box 320, RAF Lakenheath, Brandon, Suffolk IP27 9PN, United Kingdom sug: subj: Colitis, Ulcerative Complications Vasculitis Etiology Adrenal Cortex Hormones Therapeutic Use Adult Antiinflammatory Agents, Non-Steroidal Therapeutic Use Antibodies, Monoclonal Therapeutic Use Colectomy Colitis, Ulcerative Surgery Dermatologic Agents Therapeutic Use Male Mesalamine Therapeutic Use Military Personnel Vasculitis Drug Therapy Adult: 19-44 years Male ab: Ulcerative colitis may be associated with a number of extraintestinal skin manifestations including erythema nodosum and pyoderma gangrenosum. We describe an unusual case of a 26-year-old military pilot with ulcerative colitis and skin lesions diagnosed as leucocytoclastic vasculitis. The skin lesions occurred twice during the severe flare. The first occurrence was treated successfully with corticosteroids. When the lesions recurred several weeks later, concomitant with the ongoing flare, treatment with mesalamine and infliximab resolved the lesions. Ultimately, the patient required total colectomy for flare unresponsive to maximum medical therapy. The leucocytoclastic vasculitis did not recur after colectomy. We propose a potential immunopathophysiologic mechanism linking the 2 conditions based on recent biochemical and clinical research. pubtype: Academic Journal doctype: case study Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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