Online consultations with MCSC doctors n. a. A. S. Loginov

Early diagnosis of ulcerative colitis. MCSC patient history

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Patient T., 35 years old, became ill in January 2021.

  • He complained about frequent stools with an admixture of mucus and blood, pulling pain in the right side, and later he began skin itching and within 4 months appeared dark brown spots on the skin of the chest and back, increase temperatures bodies before 37.5 p.  

In the clinic, doctors performed him colonoscopy and found erosive mucosal changes Sigmoid and rectum. 

  • He was undergoing treatment antidiarrhoeal drugs, omeprazole, enzymes. 
  • Therapy brought temporary improvement: stool shrunk up to 6 times a day mixed with mucus and occasionally streaked with blood. 

But in early June 2021, the patient again began to complain of diarrhea and turned to Department of treatment of inflammatory bowel diseases MCSC. During colonoscopy, Our specialists revealed erosion mucous membrane descending, Sigmoid and rectum.

  • Results biopsies showed: the patient ulcerative colitis, moderate activity.

In addition, the blood tests were increased liver function.

  • Therefore, additional work was carried out Mr cholangiopancreatography on which experts found structural changes in intrahepatic and extrahepatic bile ducts and diagnosed: primary sclerosing cholangitis. 

And in connection with skin changes our patient also consulted dermatologist who diagnosed: parapsoriasis plaque. 

After passing comprehensive survey the patient is assigned treatment preparations of 5-aminosalicylic acid, enzyme preparations, intestinal antiseptics, preparations of ursodeoxycholic acid, and glucocorticosteroids. 

  • Given the presence of several immuno-inflammatory diseases, he also took biological therapy. 

Treatment gave positive effect, our patient is discharged with improvement and feels significantly better:

  • achieved remission ulcerative colitis;
  • minimal activity primary sclerosing cholangitis;
  • decreased skin manifestations.

Timely diagnosis of intestinal diseases and a multidisciplinary approach with the involvement of doctors of other specialties – the key to successful treatment.

  • Inflammatory bowel disease ulcerative colitis and Crohn's disease-often accompanied or started by with extra-intestinal manifestations.

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