Manifestation of extraintestinal ulcerative colitis symptomatic after colectomy

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Resumo

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.

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Sobre autores

Azalia Valitova

Kazan State Medical University of the Ministry of Healthcare of Russia

Autor responsável pela correspondência
Email: Rezada.valitova@mail.ru
ORCID ID: 0000-0001-8980-5830

student

Rússia, Kazan

Alsou 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

Rússia, Kazan

Dilyara 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

Rússia, Kazan

Elena 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

Rússia, Kazan

Natalya 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

Rússia, Kazan

Alfiya 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

Rússia, Kazan

Bibliografia

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  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.
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  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.
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2. Fig. 1. Skin manifestations in the observed patient at the time of supervision (June 2022)

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3. Fig. 2. Proctography data for the observed patient

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4. Fig. 3. Regression of skin manifestations in the observed patient after 3 months with the formation of scar tissue

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