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Chinese Herbal Retention Enema for the Treatment of Ulcerative Colitis
Published on: May 16, 2025
Peculiar Presentation of Ulcerative Colitis.
Hamdy M A Ahmed1, Amany Diab2, Ayman Ahmed2
1Clinical Immunology and Rheumatology Unit, Department of Medicine, Cairo University Hospitals, Cairo 11562, Egypt; Rochester General Hospital, Rochester, NY 14621, USA.
This case study highlights a 26-year-old male with long-standing arthritis and kidney amyloidosis who was later diagnosed with ulcerative colitis (UC). It emphasizes that joint issues can precede UC, but renal amyloidosis typically does not.
Area of Science:
- Gastroenterology and Rheumatology
- Nephrology
Background:
- Ulcerative colitis (UC) is a chronic inflammatory bowel disease.
- Extraintestinal manifestations (EIMs) of UC commonly involve joints and kidneys.
- Joint manifestations like arthritis can precede UC diagnosis, while renal amyloidosis usually does not.
Purpose of the Study:
- To report a unique case of ulcerative colitis (UC) with preceding peripheral arthritis, spondylitis, and subsequent kidney amyloidosis.
- To illustrate the complex interplay between UC and its extraintestinal manifestations.
Main Methods:
- Case report of a 26-year-old male patient.
- Review of clinical history, diagnostic findings, and treatment course.
Main Results:
- The patient presented with long-term peripheral arthritis and spondylitis.
- Renal amyloidosis was diagnosed, which did not precede the UC diagnosis.
- Ulcerative colitis was diagnosed following the presentation of arthritis and renal issues.
Conclusions:
- This case underscores that while arthritis can be an early sign of UC, renal amyloidosis is less likely to precede the diagnosis.
- Highlights the importance of considering UC in patients with unexplained arthritis and renal complications.
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