Achilles tendinitis as a rare extraintestinal manifestation of ulcerative colitis
| Autor: | Yuji Tokuumi, Yuka Shimada, Otoyuki Nakamiya, Yukie Taniuchi, Takahiro Zenda, Ichiro Araki, Keigo Komai |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
medicine.medical_specialty Biopsy Colonoscopy Achilles Tendon Achilles tendinitis Inflammatory bowel disease 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Mesalazine Colon Sigmoid medicine Humans Mesalamine Ultrasonography Achilles tendon medicine.diagnostic_test business.industry Probiotics Anti-Inflammatory Agents Non-Steroidal Gastroenterology General Medicine medicine.disease Dermatology Ulcerative colitis Surgery Radiography medicine.anatomical_structure chemistry 030220 oncology & carcinogenesis Tendinopathy Colitis Ulcerative Female 030211 gastroenterology & hepatology business Abdominal surgery |
| Zdroj: | Clinical Journal of Gastroenterology. 9:129-133 |
| ISSN: | 1865-7265 1865-7257 |
| DOI: | 10.1007/s12328-016-0645-8 |
| Popis: | Patients with inflammatory bowel disease often have extraintestinal manifestations (EIMs) involving almost all organ systems, but little has been reported on Achilles tendinitis. Herein, we present a unique case of Achilles tendinitis, which manifested shortly after initiation of mesalazine therapy for ulcerative colitis. A 26-year-old Japanese woman with bloody diarrhea and abdominal cramps lasting for 7 days was referred to our hospital. The Lichtiger clinical activity index (CAI) score was 9 at the first visit. Based on the clinical symptoms and examination results, she was diagnosed with ulcerative pancolitis in the active phase, and treatment with mesalazine (2.4 g/day) and probiotics was initiated. Her symptoms resolved within 7 days of treatment (CAI 3). However, she then developed bilateral Achilles tendinitis without any apparent cause. The Achilles tendinitis subsided with conservative management within 2 weeks, despite continuation of mesalazine therapy. This case instructively suggests that Achilles tendinitis should be noted as an EIM of ulcerative colitis. |
| Databáze: | OpenAIRE |
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