Journal of Yeungnam Medical Science

Yeungnam University College of Medicine, Yeungnam University Institute Medical Science (영남대 의대 학술지 편집위원회)
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Ulcerative Colitis Mimicking Acute Hemorrhagic Colitis

급성 출혈성 대장염으로 오인된 궤양성 대장염 1예

  • Moon, Hee-Jung (Department of Internal medicine, College of Medicine, Yeungnam University) ;
  • Jang, Byung-Ik (Department of Internal medicine, College of Medicine, Yeungnam University) ;
  • Kim, Sung-Bum (Department of Internal medicine, College of Medicine, Yeungnam University) ;
  • Lee, Ho-Chan (Department of Internal medicine, College of Medicine, Yeungnam University) ;
  • Park, Jae-Hyun (Department of Internal medicine, College of Medicine, Yeungnam University) ;
  • Eun, Jong-Ryul (Department of Internal medicine, College of Medicine, Yeungnam University) ;
  • Kim, Tae-Nyeun (Department of Internal medicine, College of Medicine, Yeungnam University)
  • 문희정 (영남대학교 의과대학 내과학교실) ;
  • 장병익 (영남대학교 의과대학 내과학교실) ;
  • 김승범 (영남대학교 의과대학 내과학교실) ;
  • 이호찬 (영남대학교 의과대학 내과학교실) ;
  • 박재현 (영남대학교 의과대학 내과학교실) ;
  • 은종렬 (영남대학교 의과대학 내과학교실) ;
  • 김태년 (영남대학교 의과대학 내과학교실)
  • Published : 2008.12.30
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Abstract

Ulcerative colitis (UC) is a chronic inflammatory disorder of the gastrointestinal tract that affects the large bowel. Its etiology remains controversial. However, an infectious or immunologic origin is considered the primary cause. The onset of UC is typically slow and insidious, but some patients may present acutely with symptoms mimicking infectious colitis. We report a case of ulcerative colitis mimicking acute hemorrhagic colitis at initial presentation. A 60-year-old man was referred to Yeungnam University Hospital for bloody diarrhea and abdominal pain. Sigmoidoscopy revealed mildly edematous mucosa in the rectum and hyperemic mucosa with petechiae in the sigmoid colon. The patient was treated with antibiotics for several days, and his symptoms improved. However, after one month, his bloody diarrhea relapsed. Follow-up sigmoidoscopy revealed mucosal friability in the rectum and sigmoid colon. He was diagnosed with ulcerative colitis, and his symptoms were improved with mesalazine and a steroid enema.

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