1982 Volume 24 Issue 3 Pages 488-493_1
A 17-year-old male was admitted to our hospital because of severe bronchial asthma attack. He had been suffering from bronchial asthma for last 15 years. Within a week, the attack was improved by theophyllin infusion, steroid hormone and antibiotics (CTZ) administration. Stool occult blood test was slightly positive on admission. The dose of steroid hormone was gradually decreased, the grade of stool occult blood, however, became stronger. No bleeding source was detected in the upper alimentary tract examination. Barium enema examination was performed and "thumbprinting sign" was noted in the trasverse colon without any lower G. I. symptoms for 5 weeks since admission. One week after the barium enema, he complained of increasing abdominal pain and bloody diarrhea. On the 7th hospital week, ulcerative colitis was strongly suspected by second barium enema examination which showed numerous "spiculations" and marked mucosal edema from the ascending through the descending colon. Rectosigmoidoscopy showed multiple ulcers on the friable mucosa and the biopsied specimens revealed "crypt abscess" formation. Finally, the patient was diagnosed to have ulcerative colitis. No report of ulcerative colitis observing the onset and course has been seen in the literatures.
