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Japanese

A Case of the Ulcerative Colitis(UC)which Seemed to Progress from Lymph Folliculosis Masaki Tosa 1 , Tatsuo Oriuchi 1 , Noriko Dairaku 1 , Shigeyuki Asano 2 , Masaru Saito 3 , Yasutoshi Konno 3 , Nobuo Hiwatashi 1 1Department of Gastroenterology, Iwaki Kyoritsu General Hospital, Iwaki, Japan 2Department of Pathology, Iwaki Kyoritsu General Hospital, Iwaki, Japan 3Department of Gastroenterology, Kureha General Hospital, Iwaki, Japan Keyword: 潰瘍性大腸炎 , クラミジア腸炎 , リンパ濾胞増殖症 , リンパ濾胞性直腸炎 pp.1598-1601
Published Date 2009/9/25
DOI https://doi.org/10.11477/mf.1403101762
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 A 47-year-old woman presented with complaints of anal bleeding. The physical and laboratory examinations were normal. Total colonoscopy showed large and small granular protruded lesions that seemed to be lymph folliculosis in the lower rectum and showed partial redness and scattered yellow spots in the rectal mucosa. Histological examination of the biopsy specimen from the rectum showed lymphoid follicular hyperplasia with partial inflammatory infiltration of the mucosa. Because the findings were not specific enough to reach a diagnosis of UC, it was necessary to differentiate the lesions from lymphoid follicular proctitis. Three months after medication of oral mesalazine(1,500mg/day)and Rinderon suppo.(1mg/day), sigmoid colonoscopy(SCS)showed slight improvement of the rectal mucosa, but there were no significant changes in the histological findings. In addition, five months after the third examination, because she had complained of continued anal bleeding, we performed SCS. We obtained the typical endoscopic findings of the UC, and histological findings were compatible with UC such as cryptitis and diffuse inflammatory cell infilitration with disappearance of lymphoid follicular proliferation, with this evidence diagnosis of UC was made.


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

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