J Korean Rheum Assoc.
2001 Dec;8(4):262-267.
A Case of Rheumatoid Arthritis Associated with Ulcerative Colitis
- Affiliations
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- 1Department of Internal Medicine, the Catholic University of Korea, Seoul 137-040, Korea. rheuma@cmc.cuk.ac.kr
- 2Division of Rheumatology, Hallym University, Korea.
- 3Catholic Research Institute of Medical Science, Institute of Immunobiology, the Catholic University of Korea, Seoul 137-040, Korea.
Abstract
- Rheumatoid arthritis(RA)is occasionally associated with variable extra-articular involvement and the chronic inflammatory process can affect the gastrointestinal system.The gastrointestinal involvement in RA may present in many causes:drug induced colitis,vasculitis and amyloidosis involved in the gut,association with certain bowel diseases such as collagenous colitis or infectious colitis. Ulcerative colitis(UC)is a chronic inflammatory bowel disease and is commonly associated with peripheral joint disease which correlates with the disease activity and extent of the bowel inflammation.The arthritis is usually presented in pauciarticular,generally asymmetric,transient,and nondestructive pattern.However,the chronic and destructive peripheral arthritis has been reported in a few cases and RA has not been observed in association with UC. We experienced a case of RA patient with recurrent abdominal pain,hematochezia,and tenesmus who was diagnosed as UC by endoscopic and histologic finding.We herein report the case with literature.
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