Ulcerative Colitis Presented as Fever and Bloody Diarrhea at Initiation of Dialysis in an Elderly Patient with End-Stage Kidney DiseaseReportar como inadecuado




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Case Reports in Medicine - Volume 2015 2015, Article ID 725205, 5 pages -

Case Report

Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka 812-8582, Japan

Department of Integrated Therapy for Chronic Kidney Disease, Graduate School of Medical Sciences, Kyushu University, Fukuoka 812-8582, Japan

Received 12 September 2015; Revised 18 October 2015; Accepted 18 October 2015

Academic Editor: Larry W. Moreland

Copyright © 2015 Shunsuke Yamada et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Ulcerative colitis UC is a chronic inflammatory bowel disorder that mainly affects the colon and rectum. Immunological derangements are associated with the pathogenesis of UC. Many patients with UC also have chronic kidney disease, associated with immunological disorders and-or pharmacotherapy for UC. Some patients with UC may develop end-stage renal disease ESRD and require renal replacement therapy. However, little is known clinically about ESRD patients who develop UC or about patients with UC who develop ESRD. This report describes an elderly patient with ESRD who presented with fever and bloody diarrhea and was finally diagnosed as UC pancolitis type at dialysis initiation. The patient was successfully treated with a series of immunosuppressive agents. This report highlights the importance of considering UC as a potential cause of bloody stool and fever in patients with ESRD.





Autor: Shunsuke Yamada, Yuka Kanazawa, Noriko Nakamura, Kosuke Masutani, Motohiro Esaki, Takanari Kitazono, and Kazuhiko Tsuruya

Fuente: https://www.hindawi.com/



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