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MR Vol.12 No.4 indexに戻る
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MODERN RHEUMATOLOGY
Vol.12 No.4 |
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An HLA-B27-positive patient diagnosed
with ulcerative colitis 15 years after the onset of arthropathy |
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| A. Tsutsumi1, T. Ebitsuka1, H. Murata1,
H. Takemura1, T. Sumida1 |
| (1)Division of Rheumatology, Department of Internal
Medicine, Institute of Clinical Medicine, University of Tsukuba,
1-1-1 Tennodai, Tsukuba 305-8575, Japan |
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| Abstract |
| Abstract A 28-year-old woman had persistent pain
of both hip joints since the age of 13 years. X-ray analysis showed
destructive changes in both hip joints and ossification of sacroiliitic
joints. The patient had mild diarrhea and slight abdominal pain for
8 years. Blood-stained stool was not noticed. Barium enema showed
changes consistent with the diagnosis of ulcerative colitis (UC).
Inflammatory bowel syndrome should be considered in patients with
persistent coxitis, even in the absence of severe abdominal symptoms. |
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| Key words |
| Key words Coxitis ・ HLA-B27 ・ Salazosulfapyridine
・ Ulcerative colitis (UC) |
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