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A Case of Inflammatory Bowel Disease Accompanied by Myasthenia Gravis
Author(s) -
TAKECHI Keishi,
MIHARA Masahiro,
SAITO Yoshio,
YAMADA Tetsuya,
MORIWAKI Hisataka,
MUTO Yasutoshi,
SHIMOKAWA Kuniyasu,
ENDO Junko,
TAKEDA Noriyuki,
TANABE Hiroshi
Publication year - 1993
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1111/j.1443-1661.1993.tb00601.x
Subject(s) - medicine , gastroenterology , myasthenia gravis , prednisolone , malignancy , thymectomy , inflammatory bowel disease , ileum , colonoscopy , descending colon , surgery , disease , rectum , colorectal cancer , cancer
A 62‐year‐old female visited our unit complaining of persisting diarrhea. She underwent a thymectomy for myasthenia gravis (MG) and a thyroidectomy for malignancy at age 58, and she was treated medically for MG fbllowing surgery. She also received a partial ileo‐colectomy because of an intramural suppurative abscess of the terminal ileum at age 60. In her laboratory data, the anti‐acetylcholine receptor antibody and antinuclear antibody were positive, and IgG as well as IgA were a high titer. X‐ray and endoscopic examinations revealed the presence of stiff and narrow lesions accompanied by longitudinal ulcers of the descending colon, and rough and granular mucosa of the rest of the colon and stomach. An elemental diet was not effective, but her condition was relieved by the oral administration of prednisolone. This case was considered a case of inflammatory bowel disease ac‐companied by MG and systemic immunological disorders.