Extraintestinal manifestations in patients with diverticulitis.
Three patients had diverticulitis and extraintestinal manifestations of arthritis and pyoderma gangrenosum. In each, a mistaken diagnosis of idiopathic inflammatory bowel disease was first made because of extraintestinal complaints associated with the gastrointestinal symptoms of diverticular diseas...
| Publicado en: | Annals of Internal Medicine Vol. 108; no. 5; pp. 700 - 703 |
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| Autores principales: | , , , , , , , , , , , |
| Formato: | case study tables/charts Journal Article |
| Publicado: |
American College of Physicians
May88
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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=6973122&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 6973122 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00034819 AIM jtl: Annals of Internal Medicine issn: 00034819 maglogo: N pubinfo: dt: May88 vid: 108 iid: 5 pid: 1652 pub: American College of Physicians place: Philadelphia, Pennsylvania artinfo: ui: 6973122 6973122 NLM3358570 6973122 10.7326/0003-4819-108-5-700 NLM3358570 6973122 ppf: 700 ppct: 3 formats: tig: atl: Extraintestinal manifestations in patients with diverticulitis. aug: au: Klein, Samuel Mayer, Lloyd Present, Daniel H. Younger, Kenneth D. Cerrulli, Maurice A. Sachar, David B. Klein, S Mayer, L Present, D H Youner, K D Cerulli, M A Sachar, D B affil: Department of Medicine, Mount Sinai School of Medicine, City University of New York, New York sug: subj: Pyoderma Etiology Diverticulum, Colon Complications Arthritis Etiology Male Pyoderma Therapy Arthritis Therapy Diverticulum, Colon Surgery Middle Age Aged Colitis Diagnosis Diverticulum, Colon Diagnosis Female Recurrence Colectomy Crohn Disease Diagnosis Diagnosis, Differential Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Three patients had diverticulitis and extraintestinal manifestations of arthritis and pyoderma gangrenosum. In each, a mistaken diagnosis of idiopathic inflammatory bowel disease was first made because of extraintestinal complaints associated with the gastrointestinal symptoms of diverticular disease. The joint and skin manifestations were refractory to various treatments, including oral and intradermal steroids, immunosuppressive agents, and hyperbaric oxygen. Segmental resection of the involved colon promptly and completely resolved all symptoms, without recurrence 26 to 38 months after surgery. Microscopic examination of the resected specimens showed only diverticulitis without any evidence of chronic idiopathic inflammatory bowel disease. Patients with diverticulitis may have extraintestinal manifestations as do patients with other inflammatory diseases of the colon. The failure to recognize this relationship may result in misdiagnosis and prolonged medical therapy, whereas segmental colonic resection may be curative. pubtype: Academic Journal doctype: case study tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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