Progress of Digestive Endoscopy
Online ISSN : 2187-4999
Print ISSN : 1348-9844
ISSN-L : 1348-9844
三枝 陽一今泉 弘金 明哲石崎 純郞加藤 彩桑尾 定仁三橋 利温西元寺 克禮大井田 正人
キーワード: 広島漢方, 青黛
ジャーナル フリー

2019 年 94 巻 1 号 p. 119-121


A 22-year-old woman with a history of diarrhea and bloody stools presented at our hospital because of diarrhea, bloody stools, and loss of appetite. Colonoscopy revealed pan-ulcerative colitis. We started treatment with continuous intravenous infusion of prednisolone 40 mg (1 mg/kg), granulocyte apheresis, and oral mesalazine granules (4000 mg). After starting treatment, symptoms promptly improved. The dose of oral prednisolone was decreased to 15 mg/day. Watery stools occurred 5 times per day. The patient wanted to receive Chinese medicine. We requested Hiroshima Sky Clinic to treat the patient with us. Treatment with prednisolone and mesalazine was discontinued, and Hiroshima Chinese medicine was begun. Clinical remission was achieved. The calprotectin level decreased to 37 μg/g. Colonoscopy showed complete mucosal healing. Chinese medicine including natural indigo has side effects. The relevance of use of natural indigo is controversial because of the potential adverse effect. However, Chinese medicine may be useful, and some patients desire such treatment. In the assessment of symptoms on basis of the results of endoscopic and pathological examinations and calprotectin testing, Chinese medicine was effective in our patient.

© 2019 一般社団法人 日本消化器内視鏡学会 関東支部
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