Progress of Digestive Endoscopy
Online ISSN : 2187-4999
Print ISSN : 1348-9844
ISSN-L : 1348-9844
症例
両下肢の壊疽性膿皮症を合併した潰瘍性大腸炎の1例
富澤 琢山﨑 勇一中山 哲雄安岡 秀敏栗林 志行大山 達也堀口 昇男水出 雅文下山 康之佐藤 賢柿崎 暁河村 修草野 元康
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2015 年 87 巻 1 号 p. 186-187

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A 42-year-old woman was admitted to our hospital with melena, abdominal pain and appetite loss. She was diagnosed with ulcerative colitis (UC) and a uterine myoma greater than 10 cm in diameter. Abdominal symptoms were experienced after pyoderma gangrenosum (PG) occurred in both legs, the latter causing severe leg pain and difficulty walking. Sigmoidoscopy revealed active inflammation with severe redness and several deep, longitudinal ulcers.
We diagnosed active UC complicated by PG and treated her with tacrolimus. Her abdominal symptoms and severe leg pain eventually improved. This case report suggests that tacrolimus treatment for UC complicated by PG is effective.
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© 2015 一般社団法人 日本消化器内視鏡学会 関東支部
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