Korean J Gastrointest Endosc > Volume 29(6); 2004 > Article
Korean Journal of Gastrointestinal Endoscopy 2004;29(6): 529-533.
혈전성 혈소판 감소성 자반증이 합병된 출혈성 대장염 1예
김현성·조영석·고윤석·심건호·최영기·김형근·손성현·김창욱·김성수·채현석·한석원·이창돈·최규용·정인식·이혜경*
가톨릭대학교 의과대학 내과학교실, *임상병리학교실
A Case of Hemorrhagic Colitis Complicated by Thrombotic Thrombocytopenic Purpura
Hyeon Seong Kim, M.D., Young Seok Cho, M.D., Yoon Seok Koh, M.D., Kon Ho Shim, M.D., Young Ki Choi, M.D., Hyung Keun Kim, M.D., Seong Hyun Son, M.D., Chang Wook Kim, M.D., Sung Soo Kim, M.D., Hiun Suk Chae, M.D., Sok Won Han, M.D., Chang Don Lee, M.D., Ky
Departments of Internal Medicine and *Clinical Pathology, College of Medicine, The Catholic University of Korea, Seoul, Korea
Abstract
Hemorrhagic colitis may be seen as a complication of inflammatory bowel disease, as well as infectious colitis related to several pathogens, including enterohemorrhagic E. coli, Shigella, Yersinia and Campylobacter. Also, it is seen in the form of antibiotic-associated hemorrhagic colitis. However, Escherichia coli serotype O157:H7 is now recognized as an important identifiable cause of hemorrhagic colitis. Occasionally, patients with E. coli serotype O157:H7 infection are diagnosed as having thrombotic thrombocytopenic purpura (TTP), a condition similar to hemolytic uremic syndrome (HUS) but with more prominent neurological findings and less renal involvement. We report a case in a 47-year-old woman who developed hemorrhagic colitis complicated by TTP, responded to steroid and antibiotic treatment. (Korean J Gastrointest Endosc 2004; 29:529⁣533)
Key Words: Hemorrhagic colitis, Thrombotic thrombocytopenic purpura
주요어: 출혈성 대장염, 혈전성 혈소판 감소성 자반증
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