Microscopic Colitis with Granuloma Which Responded to Steroid Therapy
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概要
- 論文の詳細を見る
We present a patient with chronic watery diarrhea and weight loss, in whom colonoscopic findings were consistent with microscopic colitis, but histopathological examination revealed granulomatous inflammation. A 67-year-old Japanese female with a several year history of chronic watery diarrhea and body weight loss was admitted to our hospital. Her laboratory data showed hypoalbuminemia and high levels of serum immunoglobulin G and C-reactive protein. Colonoscopic findings were grossly normal. Histopathology showed inflammatory cell infiltrates with non-necrotizing granulomas and multinucleated giant cells, indicating that this was not conventional microscopic colitis, lymphocytic colitis or collagenous colitis. After treatment with prednisolone her symptoms and laboratory data improved dramatically, and she went into remission without the necessity of further steroid treatment.
- 社団法人 日本内科学会の論文
著者
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HIGUCHI Hajime
Department of Internal Medicine, School of Medicine, Keio University
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Iwai Hiroki
Department Of Biosciences Teikyo University
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Hisamatsu Tadakazu
Department Of Internal Medicine School Of Medicine Keio University
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Ogata Haruhiko
Center For Diagnostic And Therapeutic Endoscopy Keio University Hospital
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Hibi Toshifumi
Department Of Digestive Organ Medicine Keio University School Of Medicine
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Iizuka Hideko
Department Of Internal Medicine Keio University School Of Medicine
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Higuchi Hajime
Department Of Internal Medicine School Of Medicine Keio University
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Mukai Makio
Division Of Diagnostic Pahology Keio University Hospital
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Imaeda Hiroyuki
Center For Diagnostic And Therapeutic Endoscopy
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Nagata Hiroshi
Department Of Internal Medicine And Pathology School Of Medicine Keio University
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Ogata Haruhiko
Center for Diagnostic and Therapeutic Endoscopy, Keio University Hospital
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Iizuka Hideko
Department of Internal Medicine, School of Medicine, Keio University
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Iwai Hiroki
Department of Internal Medicine, School of Medicine, Keio University
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Oyama Tokunari
Department of Internal Medicine, School of Medicine, Keio University
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Mikami Syuji
Division of Diagnostic Pathology, School of Medicine, Keio University
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