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MR Vol.11 No.1 indexに戻る
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MODERN RHEUMATOLOGY
Vol.11 No.1 |
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Recurrent ischemic colitis in a patient with
malignant rheumatoid arthritis (MRA) |
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| H. Umehara1, Y. Mizumoto2, S. Yoshii3 |
(1) Department of Internal Medicine, Osaka
Dental University, 8-1 Kuzuha Hanazono-cho, Hirakata 573-1121,
Japan
(2)Kyoto National Hospital, Kyoto, Japan
(3)Ooba Hospital, Kyoto, Japan |
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| Abstract |
| Abstract A 63-year-old male with a 5-year
history of malignant rheumatoid arthritis (MRA) developed recurrent
massive melena and abdominal pain. Methylprednisolone pulse therapy
and high doses of oral prednisolone markedly improved the clinical
symptoms and normalized immunological disorders. However, he died
of disseminated intra-vascular coagulation secondary to pneumonia
caused by methicillin-resistant Staphylococcus aureus. Although
a high dose of glucocorticoid therapy is effective for ischemic
colitis complicated with MRA, intensive care to avoid any opportunistic
infection is required. |
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| Key words |
| Key words Glucocorticosteroid therapy ・ Intestinal
infarction ・ Malignant rheumatoid arthritis ・ Rheumatoid vasculitis |
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