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Pleurisy during the course of ulcerative colitis
Journal of Clinical Gastroenterology
|December 1, 1983
Summary
Pleurisy, a rare complication, may be a systemic sign of inflammatory bowel disease (IBD). This report details two ulcerative colitis patients who developed pleurisy, suggesting a potential link between the conditions.
Area of Science:
- Gastroenterology
- Pulmonology
- Internal Medicine
Background:
- Inflammatory bowel disease (IBD) encompasses chronic conditions like ulcerative colitis.
- Extracolonic manifestations (ECMs) are common in IBD, affecting various organ systems.
- Pleurisy, inflammation of the lung lining, is an uncommon ECM.
Observation:
- Two young male patients diagnosed with ulcerative colitis presented with pleurisy.
- The onset of pleurisy occurred during their IBD disease course.
- No alternative causes for pleurisy were identified in either patient.
Findings:
- The temporal association suggests pleurisy may be linked to ulcerative colitis.
- This case series highlights a previously unreported association between ulcerative colitis and pleurisy.
- Pleurisy could represent a systemic manifestation of IBD.
Implications:
- Clinicians should consider IBD in young patients presenting with unexplained pleurisy.
- Further research is warranted to elucidate the mechanisms connecting IBD and pleurisy.
- Recognizing pleurisy as a potential IBD complication may improve patient management.
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