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Ulcerative colitis followed by the development of typical intestinal Behçet disease: A case report.

Abstract Intestinal Behçet disease (intestinal BD) and inflammatory bowel disease (IBD) share a lot of characteristics, including genetic background, clinical manifestations, and therapeutic strategies, especially the extraintestinal manifestations, such as oral ulcers, arthralgia, eye lesions, skin lesions, etc, but the coexistence of these 2 diseases are uncommon. Behçet disease with gastrointestinal involvement in ulcerative colitis (UC) patient has been reported in just 1 previous case report, but, which can not be diagnosed as definite intestinal BD based on Korean novel diagnositic criteria due to lacking the typical ileocecal ulcer.
PMID
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Authors

Mayor MeshTerms

Behcet Syndrome

Colitis, Ulcerative

Gastrointestinal Tract

Keywords
Journal Title medicine
Publication Year Start




PMID- 29443756
OWN - NLM
STAT- MEDLINE
DCOM- 20180222
LR  - 20180222
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 97
IP  - 7
DP  - 2018 Feb
TI  - Ulcerative colitis followed by the development of typical intestinal Behcet
      disease: A case report.
PG  - e9882
LID - 10.1097/MD.0000000000009882 [doi]
AB  - RATIONALE: Intestinal Behcet disease (intestinal BD) and inflammatory bowel
      disease (IBD) share a lot of characteristics, including genetic background,
      clinical manifestations, and therapeutic strategies, especially the
      extraintestinal manifestations, such as oral ulcers, arthralgia, eye lesions,
      skin lesions, etc, but the coexistence of these 2 diseases are uncommon. Behcet
      disease with gastrointestinal involvement in ulcerative colitis (UC) patient has 
      been reported in just 1 previous case report, but, which can not be diagnosed as 
      definite intestinal BD based on Korean novel diagnositic criteria due to lacking 
      the typical ileocecal ulcer. PATIENT CONCERNS: We present a 23-year-old woman
      with ulcerative disease who developed typical intestinal BD, which is the first
      case report of patient with coexisting UC and typical intestinal BD. DIAGNOSES:
      This patient was diagnosed as coexistence of intestinal BD and UC base on the
      clinical manifestations, extra intestinal manifestations and typical colonoscopic
      findings. INTERVENTIONS: Steroid and methotrexate were administered. OUTCOMES:
      This patient achieved clinical remission and mucosal healing. LESSONS:
      Coexistence of intestinal BD and UC is uncommon, and the combination with
      steroid, methotrexate, and 5-aminosalicylic acids is an effective therapy.
FAU - Zhu, Zhenhua
AU  - Zhu Z
AD  - Department of Gastroenterology, The First Affiliated Hospital, Nanchang
      University, Nanchang, Jiangxi, China.
FAU - Shu, Xu
AU  - Shu X
FAU - Long, Shunhua
AU  - Long S
FAU - Jiang, Xiaozhen
AU  - Jiang X
FAU - Lu, Nonghua
AU  - Lu N
FAU - Zhu, Xuan
AU  - Zhu X
FAU - Liao, Wangdi
AU  - Liao W
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
RN  - 0 (Anti-Inflammatory Agents, Non-Steroidal)
RN  - 0 (Antirheumatic Agents)
RN  - 0 (Glucocorticoids)
RN  - 4Q81I59GXC (Mesalamine)
RN  - YL5FZ2Y5U1 (Methotrexate)
SB  - AIM
SB  - IM
MH  - Adult
MH  - Anti-Inflammatory Agents, Non-Steroidal/administration & dosage
MH  - Antirheumatic Agents/administration & dosage
MH  - *Behcet Syndrome/complications/diagnosis/physiopathology
MH  - *Colitis, Ulcerative/complications/diagnosis/physiopathology
MH  - Colonoscopy/*methods
MH  - *Gastrointestinal Tract/diagnostic imaging/pathology
MH  - Glucocorticoids/*administration & dosage
MH  - Humans
MH  - Male
MH  - Mesalamine/*administration & dosage
MH  - Methotrexate/*administration & dosage
MH  - Remission Induction
MH  - Treatment Outcome
EDAT- 2018/02/15 06:00
MHDA- 2018/02/23 06:00
CRDT- 2018/02/15 06:00
PHST- 2018/02/15 06:00 [entrez]
PHST- 2018/02/15 06:00 [pubmed]
PHST- 2018/02/23 06:00 [medline]
AID - 10.1097/MD.0000000000009882 [doi]
AID - 00005792-201802160-00030 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2018 Feb;97(7):e9882. doi: 10.1097/MD.0000000000009882.