类风湿关节炎合并溃疡性结肠炎。
Rheumatoid arthritis associated with ulcerative colitis.
作者信息
Adachi Y, Hinoda Y, Takahashi H, Nakagawa N, Sakamoto H, Itoh F, Endo T, Suzuki S, Imai K
机构信息
First Department of Internal Medicine, Sapporo Medical University School of Medicine, Japan.
出版信息
J Gastroenterol. 1996 Aug;31(4):590-5. doi: 10.1007/BF02355063.
This report describes a 58-year-old man with rheumatoid arthritis (RA) and interstitial pneumonia who suffered from low-grade fever, abdominal pain, and bloody diarrhea 16 months after the diagnosis of RA. Ulcerative colitis (UC) was diagnosed, based on endoscopic and histological findings. RA associated with UC is rare and the underlying mechanism is unknown. We discuss here whether vasculitis and HLA class may play some role in the association of RA with UC.
本报告描述了一名58岁患有类风湿性关节炎（RA）和间质性肺炎的男性，在被诊断为RA 16个月后出现低热、腹痛和血性腹泻。根据内镜和组织学检查结果诊断为溃疡性结肠炎（UC）。RA合并UC较为罕见，其潜在机制尚不清楚。我们在此讨论血管炎和HLA类别是否可能在RA与UC的关联中发挥某种作用。
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