|
|||
| |||||||||||||||||||||||||||||||||||
A 58-year-old man with ulcerative colitis was admitted to the hospital because of bloody stools and fever.
The patient had been well until three years earlier, when diarrhea and hematochezia occurred, and a diagnosis of ulcerative colitis was made. After four weeks of treatment with sulfasalazine, he felt well and subsequently required no medication. Three weeks before admission, loose, bloody stools recurred. A colonoscopic examination performed elsewhere showed evidence of active ulcerative colitis. Treatment with sulfasalazine was resumed, but a colonoscopic examination one week later revealed no improvement. Prednisone (20 mg daily) was added, and sulfasalazine was discontinued 10 days
Differential Diagnosis
Clinical Diagnosis
Dr. Bruce E. Sands's Diagnosis
Pathological Discussion
Anatomical Diagnosis
References
HOME | SUBSCRIBE | SEARCH | CURRENT ISSUE | PAST ISSUES | COLLECTIONS | PRIVACY | TERMS OF USE | HELP | beta.nejm.org Comments and questions? Please contact us. The New England Journal of Medicine is owned, published, and copyrighted © 2009 Massachusetts Medical Society. All rights reserved. |