Bloody diarrhoea: A rare presentation of a systemic disease

S.D. Mann, Adam Young, Ian Barrison, S. Catnach

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    5 Citations (Scopus)


    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 languageEnglish
    Pages (from-to)441-443
    Number of pages3
    JournalInternational Journal of Clinical Practice
    Issue number5
    Publication statusPublished - 2003


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