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Ulcerative colitis with acute pleurisy: A case report and review of the literature.

Abstract Inflammatory bowel diseases (IBD), including ulcerative colitis (UC) and Crohn's disease, are associated with a large number of extraintestinal manifestations. Pulmonary manifestations are infrequently seen in patients with IBD. Moreover, serositis including pleural and pericardial manifestations in UC is rare.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 28746225
OWN - NLM
STAT- MEDLINE
DA  - 20170726
DCOM- 20170807
LR  - 20170807
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 30
DP  - 2017 Jul
TI  - Ulcerative colitis with acute pleurisy: A case report and review of the
      literature.
PG  - e7630
LID - 10.1097/MD.0000000000007630 [doi]
AB  - RATIONALE: Inflammatory bowel diseases (IBD), including ulcerative colitis (UC)
      and Crohn's disease, are associated with a large number of extraintestinal
      manifestations. Pulmonary manifestations are infrequently seen in patients with
      IBD. Moreover, serositis including pleural and pericardial manifestations in UC
      is rare. PATIENT CONCERNS: We report a case of UC with acute pleurisy in a
      43-year-old man; review literature; and discuss the diagnosis, differential
      diagnosis, and treatment. DIAGNOSES: Active duodenal ulcer was found using
      gastroscopy. Multiple ulcers in segmented pattern were noticed in the left
      hemi-colon using colonoscopy. An UC in active stage was confirmed subsequently by
      histology. INTERVENTION: The patient was treated with bifidobacterium
      tetravaccine tablets, oral mesalazine and mesalazine enemas. The omeprazole and
      mucosal protective agents were given to treat the duodenal ulcer. OUTCOMES: As
      follow-up, the therapy including oral mesalazine and infliximab regularly was
      continued and the patient condition was stabilized. MAIN LESSON: Pulmonary
      involvement should be considered in patients who develop pleurisy in UC.
      Infliximab is considered the better available treatment for patients presenting
      with pleurisy in UC.
FAU - Lu, Shuming
AU  - Lu S
AD  - aDepartment of Gastroenterology, First Affiliated Hospital of Dalian Medical
      University, Dalian bDepartment of Medical Imaging, Qingdao Women and Children's
      Hospital, Qingdao, China cDepartment of Radiology, First Affiliated Hospital of
      Dalian Medical University dDepartment of Pathology, Dalian Municipal Central
      Hospital, Dalian, China.
FAU - Wang, Lihua
AU  - Wang L
FAU - Zhang, Weisheng
AU  - Zhang W
FAU - Zhang, Zhuqing
AU  - Zhang Z
FAU - Liu, Lina
AU  - Liu L
FAU - Wang, Yingde
AU  - Wang Y
FAU - Meng, Hua
AU  - Meng H
LA  - eng
PT  - Case Reports
PT  - Journal Article
PT  - Review
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Adult
MH  - Colitis, Ulcerative/*complications/*diagnosis/therapy
MH  - Diagnosis, Differential
MH  - Humans
MH  - Male
MH  - Pleurisy/*complications/*diagnosis/therapy
EDAT- 2017/07/27 06:00
MHDA- 2017/08/08 06:00
CRDT- 2017/07/27 06:00
AID - 10.1097/MD.0000000000007630 [doi]
AID - 00005792-201707280-00056 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Jul;96(30):e7630. doi: 10.1097/MD.0000000000007630.