Ulcerative Colitis Presented as Fever and Bloody Diarrhea at Initiation of Dialysis in an Elderly Patient with End-Stage Kidney Disease

Shunsuke Yamada, Yuka Kanazawa, Noriko Nakamura, Kosuke Masutani, Motohiro Esaki, Takanari Kitazono, Kazuhiko Tsuruya

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Abstract

Ulcerative colitis (UC) is a chronic inflammatory bowel disorder that mainly affects the colon and rectum. Immunological derangements are associated with the pathogenesis of UC. Many patients with UC also have chronic kidney disease, associated with immunological disorders and/or pharmacotherapy for UC. Some patients with UC may develop end-stage renal disease (ESRD) and require renal replacement therapy. However, little is known clinically about ESRD patients who develop UC or about patients with UC who develop ESRD. This report describes an elderly patient with ESRD who presented with fever and bloody diarrhea and was finally diagnosed as UC (pancolitis type) at dialysis initiation. The patient was successfully treated with a series of immunosuppressive agents. This report highlights the importance of considering UC as a potential cause of bloody stool and fever in patients with ESRD.

Original languageEnglish
Article number725205
JournalCase Reports in Medicine
Volume2015
DOIs
Publication statusPublished - Jan 1 2015

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Ulcerative Colitis
Chronic Kidney Failure
Dialysis
Diarrhea
Fever
Renal Replacement Therapy
Immunosuppressive Agents
Chronic Renal Insufficiency
Rectum
Colon
Drug Therapy

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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Ulcerative Colitis Presented as Fever and Bloody Diarrhea at Initiation of Dialysis in an Elderly Patient with End-Stage Kidney Disease. / Yamada, Shunsuke; Kanazawa, Yuka; Nakamura, Noriko; Masutani, Kosuke; Esaki, Motohiro; Kitazono, Takanari; Tsuruya, Kazuhiko.

In: Case Reports in Medicine, Vol. 2015, 725205, 01.01.2015.

Research output: Contribution to journalArticle

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