Abstract
Bloody diarrhoea in adolescents is usually due to enteric infection or inflammatory bowel disease. We describe a patient with bloody diarrhoea and endoscopic features of colitis in association with a systemic vasculitis. Positive anti-proteinase-3 antineutrophil cytoplasmic antibodies and cutaneous vasculitis on biopsy confirmed the diagnosis of Wegener's granulomatosis. He was started on high dose steroids and cyclophosphamide but required plasmapheresis for a declining renal function. The case highlights the need for vigilance with common clinical problems, because a life-threatening condition may be averted by prompt recognition and urgent therapy with immunosuppressants.
| Original language | English |
|---|---|
| Pages (from-to) | 441-443 |
| Number of pages | 3 |
| Journal | International Journal of Clinical Practice |
| Volume | 57 |
| Issue number | 5 |
| Publication status | Published - 2003 |