Japanese

Enteric Inflammatory Diseases that Need be Differentiated from Inflammatory Bowel Disease(UC, CD) Ichiro Hirata 1 , Mitsuyuki Murano 1 , Takuya Inoue 2 1Department of Medicine and Gastroenterology, Fujita Health University, School of Medicine 2Department of Internal Medicine II, Osaka Medical College Keyword: 炎症性腸疾患 , 感染性腸炎 , 虚血性腸炎 , 薬剤性腸炎 , 鑑別診断 pp.869-883
Published Date 2006/5/25
DOI https://doi.org/10.11477/mf.1403100609
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 Points differentiating various enteric inflammatory diseases from IBD(UC,CD)were described.

 Intestinal tuberculosis had annular-like ulcers, a scar-atrophic band-like finding, and large confluent non-caseous granulomas somewhere in the lesions(points differentiating it from CD). Amoebic colitis had verrucose-shaped ulcers and distinct vascular pattern on the interposed mucosa at least somewhere(points differentiating it from UC). Campylobactor enterocolitis might often have an ulcer on the Bauhin's valve(a point differentiating it from UC). Salmonellosis might have a normal rectum(a point differentiating it from UC). Yersinia enterocolitis usually did not cause a longitudinal ulcer(a point differentiating it from CD). Enterohemorrhagic Escherichia coli enterocolitis frequently showed liquefaction of the duct and degenerative necrosis(a point differentiating it from UC). Ischemic colitis had no cobblestone appearance(a point differentiating it from CD)and rarely showed rectal lesions(a point differentiating it from UC). The main lesion of hemorrhagic colitis presented in the transverse colon(a point differentiating it from UC). NSAIDs enterocolitis usually had slight lesions and no longitudinal ulcer(a point differentiating it from CD).


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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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