An atypical presentation of ulcerative colitis: case report

IF 0.5 Q4 PEDIATRICS

Egyptian Pediatric Association Gazette Pub Date : 2024-02-14 DOI:10.1186/s43054-024-00252-8

Avanti Saoji, Madhura Kavishwar, Praveen Unki, Surbhi Rathi

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引用次数: 0

Abstract

Bloody diarrhea in children often indicates a severe gastrointestinal illness. Although infections are the most likely cause, inflammatory bowel disease (IBD) is a close mimic. IBD generally presents with chronic and persistent symptoms requiring long-term treatment. Hence, acute or atypical presentations may mislead the physician leading to delays in diagnosis. We report the case of an atypical presentation of ulcerative colitis. We present the case of a 6-year-old girl with acute symptoms of bloody diarrhea, fever, abdominal pain, and tenesmus for 5 days. The child came to us after the non-resolution of symptoms after treatment from a local practitioner. The child was found to have signs of chronic malnutrition and clubbing on general examination. After ruling out infective causes, the child was evaluated further by colonoscopy, which revealed lesions suggestive of ulcerative colitis, and hence started on topical and oral treatment for the same. Awareness about the disease and its atypical presentations like poor growth, anemia, or extraintestinal manifestations is necessary, especially in primary healthcare and resource-poor settings as it can lead to early diagnosis, referral, and treatment initiation.

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溃疡性结肠炎的非典型表现：病例报告

儿童血性腹泻通常预示着严重的胃肠道疾病。虽然感染是最有可能的病因，但炎症性肠病（IBD）与之相似。IBD 通常表现为慢性和持续性症状，需要长期治疗。因此，急性或不典型的表现可能会误导医生，导致诊断延误。我们报告了一例非典型表现的溃疡性结肠炎病例。我们报告了一例 6 岁女孩的病例，其急性症状为血性腹泻、发热、腹痛和持续 5 天的排便不畅。患儿在接受当地医生的治疗后，症状仍未缓解，遂来我院就诊。经全身检查发现，患儿有慢性营养不良的体征，并伴有畸形。在排除了感染原因后，我们通过结肠镜对患儿进行了进一步评估，发现患儿的病变提示为溃疡性结肠炎，因此开始对其进行局部和口服治疗。对这种疾病及其非典型表现（如发育不良、贫血或肠道外表现）的认识是必要的，尤其是在初级医疗保健和资源匮乏的环境中，因为这可以导致早期诊断、转诊和开始治疗。

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来源期刊

Egyptian Pediatric Association Gazette PEDIATRICS-

自引率

0.00%

发文量

审稿时长

9 weeks

期刊介绍： The Gazette is the official journal of the Egyptian Pediatric Association. The main purpose of the Gazette is to provide a place for the publication of high-quality papers documenting recent advances and new developments in both pediatrics and pediatric surgery in clinical and experimental settings. An equally important purpose of the Gazette is to publish local and regional issues related to children and child care. The Gazette welcomes original papers, review articles, case reports and short communications as well as short technical reports. Papers submitted to the Gazette are peer-reviewed by a large review board. The Gazette also offers CME quizzes, credits for which can be claimed from either the EPA website or the EPA headquarters. Fields of interest: all aspects of pediatrics, pediatric surgery, child health and child care. The Gazette complies with the Uniform Requirements for Manuscripts submitted to biomedical journals as recommended by the International Committee of Medical Journal Editors (ICMJE).