Document Detail


A case of ulcerative colitis accompanied with myelodysplastic syndrome successfully treated by cyclosporine.
MedLine Citation:
PMID:  21817844     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
A 64-year-old man had been admitted to a previous hospital because of melena and a diagnosis of ulcerative colitis (UC, pancolitis type) had been made. He had received prednisolone and 5-ASA but steroid-induced hyperamylasemia had developed. Prednisolone had been tapered and halted, but it had resulted in UC relapse and thrombocytopenia. Then, he was referred to our hospital due to severe melena with hypovolemic shock. However, he was also positive for CMV antigen. Thus, we attempted to treat him with ganciclovir for CMV and intravenous cyclosporine (CsA) for UC. According to his clinical course, a reduction of CsA blood concentration induced leukocytopenia. Myelodysplastic syndrome (MDS, RAEB-1) was then revealed after bone marrow biopsy. A high blood CsA concentration may cause the improvement of UC and MDS conditions.
Authors:
Sho Takahashi; Yasushi Sato; Tamotsu Sagawa; Shingo Tanaka; Kazuyuki Murase; Kohichi Takada; Satoshi Iyama; Tsutomu Sato; Rishu Takimoto; Masayoshi Kobune; Ganji Kuroiwa; Michiaki Hirayama; Tetsuro Okamoto; Junji Kato
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Nihon Shokakibyo Gakkai zasshi = The Japanese journal of gastro-enterology     Volume:  108     ISSN:  1349-7693     ISO Abbreviation:  Nihon Shokakibyo Gakkai Zasshi     Publication Date:  2011  
Date Detail:
Created Date:  2011-08-05     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2984683R     Medline TA:  Nihon Shokakibyo Gakkai Zasshi     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  1405-12     Citation Subset:  IM    
Affiliation:
Fourth Department of Internal Medicine, Sapporo Medical University School of Medicine.
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