CASE REPORT
Ulcerative colitis accompanied by aseptic abscesses syndrome and small-vessel vasculitis
1
Chair and Department of Dermatology, Venerology and Paediatric Dermatology, Medical University of Lublin, Poland
2
Chair and Department of Internal Diseases, Medical University of Lublin, Lublin, Poland
3
II Department of Radiology, Medical University of Lublin, Poland
4
Department of Rheumatology and Connective Tissue Diseases, Medical University of Lublin, Poland
Corresponding author
Bartłomiej Wawrzycki
Chair and Department of Dermatology, Venerology and Paediatric Dermatology, Medical University of Lublin, Radziwiłłowska 13, 20–080, Lublin, Poland
Chair and Department of Dermatology, Venerology and Paediatric Dermatology, Medical University of Lublin, Radziwiłłowska 13, 20–080, Lublin, Poland
J Pre Clin Clin Res. 2016;10(2):140-143
KEYWORDS
ABSTRACT
Introduction:
Cutaneous small-vessel vasculitis and aseptic abscesses syndrome are among the rarest extraintestinal manifestations of bowel inflammatory diseases.
Objective:
Presentation of a case of concomitance of cutaneous small vessel vasculitis and septic absecess, accompanied by inflammatory bowel disease.
Material and Methods:
The study describes the case of a 19-year-old female admitted to the Department of Dermatology due to cutaneous small-vessel vasculitis. In order to reach the final diagnosis, a wide spectrum of laboratory and diagnostic tests were performed. Three subsequent abdominal CT scans confirmed the presence of hypodense foci, initially in the spleen, and subsequently in the liver. The aseptic abscesses syndrome was diagnosed based on the radiological picture and the exclusion of infectious causes of the above-described foci.
Results:
During the hospitalisation, the patient developed symptoms of paralytic ileus. The results of colonoscopy and biopsy of intestinal mucous membrane were typical of ulcerative colitis.
Conclusions:
To the best of the authors’ knowledge, this is the first presentation of ulcerative colitis accompanied by aseptic abscesses syndrome concomitant with cutaneous small vessel vasculitis.
Cutaneous small-vessel vasculitis and aseptic abscesses syndrome are among the rarest extraintestinal manifestations of bowel inflammatory diseases.
Objective:
Presentation of a case of concomitance of cutaneous small vessel vasculitis and septic absecess, accompanied by inflammatory bowel disease.
Material and Methods:
The study describes the case of a 19-year-old female admitted to the Department of Dermatology due to cutaneous small-vessel vasculitis. In order to reach the final diagnosis, a wide spectrum of laboratory and diagnostic tests were performed. Three subsequent abdominal CT scans confirmed the presence of hypodense foci, initially in the spleen, and subsequently in the liver. The aseptic abscesses syndrome was diagnosed based on the radiological picture and the exclusion of infectious causes of the above-described foci.
Results:
During the hospitalisation, the patient developed symptoms of paralytic ileus. The results of colonoscopy and biopsy of intestinal mucous membrane were typical of ulcerative colitis.
Conclusions:
To the best of the authors’ knowledge, this is the first presentation of ulcerative colitis accompanied by aseptic abscesses syndrome concomitant with cutaneous small vessel vasculitis.
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| ISSN: | 1898-2395 |
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