Burt R W, Berenson M M, Samuelson C O, Cathey W J
Dig Dis Sci. 1983 Feb;28(2):183-8. doi: 10.1007/BF01315149.
This report describes a patient with pancolitis resulting from rheumatoid vasculitis. Corticosteroid treatment reduced colonic inflammation but colectomy was required to control hemorrhage. The case illustrates the need to recognize colitis as a manifestation of rheumatoid vasculitis so that new treatment modalities may be employed to achieve a more successful medical management. The appearance of discrete colonic ulcerations following corticosteroid treatment of pancolitis in patients with rheumatoid arthritis should further suggest the diagnosis of intestinal vasculitis.
本报告描述了一名因类风湿性血管炎导致全结肠炎的患者。皮质类固醇治疗减轻了结肠炎症，但需要进行结肠切除术以控制出血。该病例表明，需要认识到结肠炎是类风湿性血管炎的一种表现，以便采用新的治疗方式实现更成功的医疗管理。类风湿性关节炎患者在接受皮质类固醇治疗全结肠炎后出现离散性结肠溃疡，应进一步提示肠道血管炎的诊断。
