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A 34-year-old man was admitted to the hospital because of ulcerative colitis with perirectal pain, swelling, and discharge.
The ulcerative colitis had initially been diagnosed 10 years earlier, in Puerto Rico. Thereafter, the patient often failed to take his medications as directed. Eight years before the current admission, after he had been well for an uncertain interval, he had bloody diarrhea and was admitted to this hospital for one week. Treatment with prednisone and sulfasalazine resulted in improvement in his symptoms. Two years before the current admission, he spent four weeks in this hospital because of severe pancolitis and was
Differential Diagnosis
Clinical Diagnosis
Dr. Elizabeth M. Breen's Diagnoses
Pathological Discussion
Anatomical Diagnosis
References
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