Javia Siddharth, Agrawal Abhinav, Patell Rushad, Jasdanwala Sarfaraz
Department of Internal Medicine, Mercy Hospital, St Louis, Missouri, USA.
Department of Internal Medicine, Monmouth Medical Center, Long Branch, New Jersey, USA.
BMJ Case Rep. 2014 Oct 17;2014:bcr2014205328. doi: 10.1136/bcr-2014-205328.
Respiratory involvement is a rare extraintestinal manifestation of ulcerative colitis (UC). It commonly presents as bronchiectasis and rarely as tracheobronchitis. It can occur before or after the presentation of gastrointestinal symptoms. Only rarely does it occur after the patient undergoes colectomy. Diagnosis should be considered in any patient with UC who presents with unexplained upper respiratory symptoms and a negative work up for infectious aetiologies. It responds well to immunosuppressive therapy. We present a case of a 21-year-old woman who underwent colectomy for ulcerative colitis and later presented with new onset severe reversible inflammation of the upper respiratory tract.
呼吸系统受累是溃疡性结肠炎（UC）一种罕见的肠外表现。它通常表现为支气管扩张，很少表现为气管支气管炎。它可在胃肠道症状出现之前或之后发生。仅在极少数情况下，它会在患者接受结肠切除术后出现。对于任何患有UC且出现无法解释的上呼吸道症状且感染病因检查阴性的患者，都应考虑进行诊断。它对免疫抑制治疗反应良好。我们报告一例21岁女性患者，该患者因溃疡性结肠炎接受了结肠切除术，后来出现新发的严重可逆性上呼吸道炎症。
