| Pregnancy-associated Sweet's syndrome in an acute episode of ulcerative colitis. | |
| | |
MedLine Citation:
|
PMID: 19662588 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
A 33-year old pregnant patient (pregnancy week 15) with a past medical history of ulcerative colitis with onset of the disease following the birth of her first child was admitted to the hospital with symptoms of weight loss, pyrexia, leukocytosis and bloody and mucous diarrhoea. Total ileocolonoscopy revealed an acute flare of ulcerative colitis. Within a few days, tender erythematous skin lesions occurred and were histologically proven to be neutrophilic dermatosis. Treatment with highly-dosed prednisone led to a complete remission of both cutaneous and intestinal manifestations. Both pathogenic entities are associated with similar immunological alterations, such as comparable cytokine and chemokine release patterns and recruitment of inflammatory cells. Recent data also indicates that proinflammatory cytokine levels are elevated in pregnancy, which might be pivotal in the pathogenesis and the severity of intestinal and extraintestinal symptoms. We present and discuss a diagnostic algorithm and an overall therapeutic rationale for Sweet's syndrome. |
| | |
Authors:
|
J Best; A Dechene; S Esser; G Gerken; A Canbay |
Related Documents
:
|
636858 - Acute fatty liver of pregnancy with disseminated intravascular coagulation. 12170538 - Acute fatty liver of pregnancy and acetaminophen toxicity leading to liver failure and ... 1484658 - Pregnancies complicated by liver disease and liver dysfunction. 21967678 - How women who have experienced one or more miscarriages manage their feelings and emoti... 6478008 - Effect of pregnancy plasma, neuraminidase and sialic acid on phytohemagglutinin-induced... 16487228 - Low incidence of hypertensive disorders of pregnancy in women treated with spiramycin f... |
Publication Detail:
|
Type: Case Reports; Journal Article Date: 2009-08-06 |
Journal Detail:
|
Title: Zeitschrift für Gastroenterologie Volume: 47 ISSN: 1439-7803 ISO Abbreviation: Z Gastroenterol Publication Date: 2009 Aug |
Date Detail:
|
Created Date: 2009-08-07 Completed Date: 2009-10-21 Revised Date: 2009-11-11 |
Medline Journal Info:
|
Nlm Unique ID: 0033370 Medline TA: Z Gastroenterol Country: Germany |
Other Details:
|
Languages: eng Pagination: 753-7 Citation Subset: IM |
Copyright Information:
|
Copyright Georg Thieme Verlag KG Stuttgart. New York. |
Affiliation:
|
Department of Gastroenterology and Hepatology, University Hospital Essen, 45122 Essen. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Acute Disease Adult Colitis, Ulcerative / diagnosis*, therapy* Female Humans Pregnancy Pregnancy Complications / diagnosis*, therapy* Sweet Syndrome / diagnosis*, therapy* Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Lethal bleeding after accidental swallowing of a wooden meat skewer
Next Document: Matrix metalloproteinases in inflammatory bowel disease - from basic research to clinical significan...