Manifestation of extraintestinal ulcerative colitis symptomatic after colectomy

Cover Page

Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

Ulcerative colitis is characterized by the development of extraintestinal manifestations (EIM), which are predominantly damaging the gastrointestinal, musculoskeletal and cutaneous systems. The article presents a clinical case of ulcerative colitis female patient, who had debut of EIM in the form of axial spondyloarthritis, pyoderma gangrenosum and aphthous stomatitis arising after colectomy. The difficulties of diagnosing and managing such kind of patients are discussed.

Full Text

Restricted Access

About the authors

Azalia D. Valitova

Kazan State Medical University of the Ministry of Healthcare of Russia

Author for correspondence.
Email: Rezada.valitova@mail.ru
ORCID iD: 0000-0001-8980-5830

student

Russian Federation, Kazan

Alsou M. Galieva

Kazan State Medical University of the Ministry of Healthcare of Russia

Email: also101@gmail.com
ORCID iD: 0000-0002-8026-6698

MD, medical resident of the Department of hospital therapy

Russian Federation, Kazan

Dilyara D. Mukhametova

Kazan State Medical University of the Ministry of Healthcare of Russia

Email: muhdilyara@gmail.com
ORCID iD: 0000-0003-2102-0142

MD, PhD (Medicine), assistant at the Department of hospital therapy

Russian Federation, Kazan

Elena N. Belousova

Kazan State Medical University of the Ministry of Healthcare of Russia

Email: vanilla16@mail.ru
ORCID iD: 0000-0001-9369-4993

MD, PhD (Medicine), assistant at the Department of hospital therapy

Russian Federation, Kazan

Natalya A. Cheremina

Republican Clinical Hospital of the Ministry of Healthcare of the Republic of Tatarstan

Email: doctornat@mail.ru
ORCID iD: 0000-0002-5856-5050

MD, gastroenterologist at the Department of gastroenterology

Russian Federation, Kazan

Alfiya Kh. Odintsova

Republican Clinical Hospital of the Ministry of Healthcare of the Republic of Tatarstan

Email: odincovaa@yandex.ru
ORCID iD: 0000-0003-1270-5457

MD, PhD (Medicine), head of the Department of gastroenterology

Russian Federation, Kazan

References

  1. Ивашкин В.Т., Шелыгин Ю.А., Белоусова Е.А. с соавт. Проект клинических рекомендаций по диагностике и лечению язвенного колита. Колопроктология. 2019; 18(4): 7–36. [Ivashkin V.T., Shelygin Yu.A., Belousova E.A. et al. Project of clinical recommendations for the diagnosis and treatment of ulcerative colitis. Koloproktologiya = Coloproctology. 2019; 18(4): 7–36 (In Russ.)]. https://doi.org/10.33878/2073-7556-2019-18-4-7-36. EDN: EUJGWU.
  2. Cosnes J., Gower-Rousseau C., Seksik P., Cortot A. Epidemiology and natural history of inflammatory bowel diseases. Gastroenterology. 2011; 140(6): 1785–94. https://doi.org/10.1053/j.gastro.2011.01.055. PMID: 21530745.
  3. Gordon H., Burisch J., Ellul P. et al. ECCO guidelines on extraintestinal manifestations in inflammatory bowel disease. J Crohns Colitis. 2024; 18(1): 1–37. https://doi.org/10.1093/ecco-jcc/jjad108. PMID: 37351850.
  4. Яблокова Е.А., Джабарова А.К., Лохматов М.М. с соавт. Внекишечные проявления воспалительных заболеваний кишечника у детей. Экспериментальная и клиническая гастроэнтерология. 2023; (1): 165–177. [Yablokova E.A., Dzhabarova A.K., Lokhmatov M.M. et al. Extraintestinal manifestations in inflammatory bowel diseases in children, a modern view of the problem. Eksperimental’naya i klinicheskaya gastroenterologiya = Experimental and Clinical Gastroenterology. 2023; (1): 165–177 (In Russ.)]. https://doi.org/10.31146/1682-8658-ecg-209-1-165-177. EDN: UVYMBX.
  5. Седов В.М., Андреев Д.Ю., Парамонов Б.А. с соавт. «Гангренозная пиодермия» как хирургическая проблема. Вестник хирургии им. И.И. Грекова. 2010; 169(3): 111–116. [Sedov V.M., Andreev D.Yu., Paramonov B.A. et al. “Gangrenous pyoderma” as a surgical problem. Vestnik khirurgii imeni I.I. Grekova = Bulletin of Surgery named after I.I. Grekov. 2010; 169(3): 111–116 (In Russ.)]. EDN: MSLPFD.
  6. Trikudanathan G., Venkatesh P.G., Navaneethan U. Diagnosis and therapeutic management of extra-intestinal manifestations of inflammatory bowel disease. Drugs. 2012; 72(18): 2333–49. https://doi.org/10.2165/11638120-000000000-00000. PMID: 23181971.
  7. McBride D.R. Management of aphthous ulcers. Am Fam Physician. 2000; 62(1): 149–54, 160. PMID: 10905785.
  8. Кузин А.В. Поражение суставов и позвоночника у больных с воспалительными заболеваниями кишечника. Современная ревматология. 2016; 10(2): 78–82. [Kuzin A.V. Injury to the joint and spinal column in patients with inflammatory bowel diseases. Sovremennaya revmatologiya = Modern Rheumatology Journal. 2016; 10(2): 78–82 (In Russ.)]. https://doi.org/10.14412/1996-7012-2016-2-78-82. EDN: WXPKKT.
  9. Goudet P., Dozois R.R., Kelly K.A. et al. Characteristics and evolution of extraintestinal manifestations associated with ulcerative colitis after proctocolectomy. Dig Surg. 2001; 18(1): 51–55. https://doi.org/10.1159/000050097. PMID: 11244260.
  10. Rodriguez Lago I., Barreiro de Acosta M. The natural history of extraintestinal manifestations after surgery in inflammatory bowel disease: Never give up! United European Gastroenterol J. 2021; 9(7): 748. https://doi.org/10.1002/ueg2.12127. PMID: 34432385. PMCID: PMC8435250.
  11. Roth R., Vavricka S., Scharl M. et al. The impact of colectomy on the course of extraintestinal manifestations in Swiss inflammatory bowel disease cohort study patients. United European Gastroenterol J. 2021; 9(7): 773–80. https://doi.org/10.1002/ueg2.12125. PMID: 34431613. PMCID: PMC8435245.
  12. Haag C.K., Bacik L., Latour E. et al. Perioperative management of pyoderma gangrenosum. J Am Acad Dermatol. 2020; 83(2): 369–74. https://doi.org/10.1016/j.jaad.2020.01.002. PMID: 31927079.
  13. Голоева Р.Г., Алекберова З.С. Болезнь Бехчета: поражение кишечника. Научно-практическая ревматология. 2018; 56(6): 767–776. [Goloeva R.G., Alekberova Z.S. Behçet’s disease: Intestinal damage. Nauchno-prakticheskaya revmatologiya = Scientific and Practical Rheumatology. 2018; 56(6): 767–776 (In Russ.)]. https://doi.org/10.14412/1995-4484-2018-767-776. EDN: JZJADO.
  14. Alavi A., French L.E., Davis M.D. et al. Pyoderma gangrenosum: An update on pathophysiology, diagnosis and treatment. Am J Clin Dermatol. 2017; 18(3): 355–372. https://doi.org/10.1007/s40257-017-0251-7. PMID: 28224502.

Supplementary files

Supplementary Files
Action
1. JATS XML
Download
2. Fig. 1. Skin manifestations in the observed patient at the time of supervision (June 2022)

Download (677KB)
Indexing metadata
3. Fig. 2. Proctography data for the observed patient

Download (310KB)
Indexing metadata
4. Fig. 3. Regression of skin manifestations in the observed patient after 3 months with the formation of scar tissue

Download (603KB)
Indexing metadata

Copyright (c) 2024 Bionika Media

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies