Ulcerative colitis of 28 years’ duration with recovery
Identifieur interne : 000216 ( Istex/Curation ); précédent : 000215; suivant : 000217Ulcerative colitis of 28 years’ duration with recovery
Auteurs : William Z. Fradkin [États-Unis]Source :
- The American Journal of Digestive Diseases [ 0002-9211 ] ; 1938-11-01.
English descriptors
- KwdEn :
- Amebic infection, American journal, Barium enema, Blood cells, Bloody diarrhea, Colitis, Colon, Colon study, Complete loss, Complete recovery, Direct vision, Gastric analysis, Generalized eczema, High percentage, Jewish hospital, July, Normal haustration, Operable mortality, Pathological process, Physical agents, Phytobezoar, Radiation therapy, Rectal, Rectal cancer, Rectal resection, Skin condition, Skin lesions, Sodium iodide, Stool examinations, Surgical removal, Surgical risks, Sycosis barbae, Ulcerative colitis, Warmstage microscope.
- Teeft :
- Amebic infection, American journal, Barium enema, Blood cells, Bloody diarrhea, Colitis, Colon, Colon study, Complete loss, Complete recovery, Direct vision, Gastric analysis, Generalized eczema, High percentage, Jewish hospital, July, Normal haustration, Operable mortality, Pathological process, Physical agents, Phytobezoar, Radiation therapy, Rectal, Rectal cancer, Rectal resection, Skin condition, Skin lesions, Sodium iodide, Stool examinations, Surgical removal, Surgical risks, Sycosis barbae, Ulcerative colitis, Warmstage microscope.
Abstract
Comment and summary: This patient suffered with ulcerative colitis for 28 years. The etiology of the disease remained undetermined until material for examination was aspirated directly from the ulcers and immediately examined on a warmstage microscope. The routine stool examinations were unreliable and misleading. The liver, although a common secondary site of amebic infection, resisted pathologic amebic invasion. The generalized eczema of the skin as well as the acute dermatitis of the scalp with temporary loss of hair may be attributed to the effect of the parasite or its toxins. It is of interest to note that the intravenous administration of sodium iodide controlled the diarrhea for a period of five months. This would suggest its use in the more protracted cases of amebiasis where the parasites have migrated to the liver and other organs and where the use of emetine is contraindicated. This case also shows that an amebic infection of the colon may for a short period of time spontaneously regress to a state of practically normal roentgenologic findings.
Url:
DOI: 10.1007/BF03014439
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<wicri:cityArea>Department of Medicine, Division of Gastro-Enterology, and the Department of Laboratories, Division of Bacteriology, Jewish Hospital of Brooklyn, Brooklyn</wicri:cityArea>
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<term>American journal</term>
<term>Barium enema</term>
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<term>Bloody diarrhea</term>
<term>Colitis</term>
<term>Colon</term>
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<term>High percentage</term>
<term>Jewish hospital</term>
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<term>Operable mortality</term>
<term>Pathological process</term>
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<term>Phytobezoar</term>
<term>Radiation therapy</term>
<term>Rectal</term>
<term>Rectal cancer</term>
<term>Rectal resection</term>
<term>Skin condition</term>
<term>Skin lesions</term>
<term>Sodium iodide</term>
<term>Stool examinations</term>
<term>Surgical removal</term>
<term>Surgical risks</term>
<term>Sycosis barbae</term>
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<term>July</term>
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<term>Operable mortality</term>
<term>Pathological process</term>
<term>Physical agents</term>
<term>Phytobezoar</term>
<term>Radiation therapy</term>
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<term>Rectal cancer</term>
<term>Rectal resection</term>
<term>Skin condition</term>
<term>Skin lesions</term>
<term>Sodium iodide</term>
<term>Stool examinations</term>
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<front><div type="abstract" xml:lang="en">Comment and summary: This patient suffered with ulcerative colitis for 28 years. The etiology of the disease remained undetermined until material for examination was aspirated directly from the ulcers and immediately examined on a warmstage microscope. The routine stool examinations were unreliable and misleading. The liver, although a common secondary site of amebic infection, resisted pathologic amebic invasion. The generalized eczema of the skin as well as the acute dermatitis of the scalp with temporary loss of hair may be attributed to the effect of the parasite or its toxins. It is of interest to note that the intravenous administration of sodium iodide controlled the diarrhea for a period of five months. This would suggest its use in the more protracted cases of amebiasis where the parasites have migrated to the liver and other organs and where the use of emetine is contraindicated. This case also shows that an amebic infection of the colon may for a short period of time spontaneously regress to a state of practically normal roentgenologic findings.</div>
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