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A Case of Crohn's Disease Diagnosed from a Subcutaneous Abscess Caused by Enterocutaneous Fistula
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- OMODAKA Toshikazu
- Department of Dermatology, Shinshu University School of Medicine
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- HAYASHI Koichi
- Department of Dermatology, Shinshu University School of Medicine
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- KAMIJO Fuminao
- Department of Dermatology, Shinshu University School of Medicine
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- OHASHI Atsuko
- Department of Dermatology, Shinshu University School of Medicine
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- MIYAKE Tomomi
- Department of Dermatology, Shinshu University School of Medicine
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- HAGIWARA Hiroaki
- First Department of Surgery, Shinshu University School of Medicine
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- ISHIZONE Satoshi
- First Department of Surgery, Shinshu University School of Medicine
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- MIYAGAWA Shinichi
- First Department of Surgery, Shinshu University School of Medicine
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- KOGA Hiroshi
- Department of Dermatology, Shinshu University School of Medicine
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- OKUYAMA Ryuhei
- Department of Dermatology, Shinshu University School of Medicine
Bibliographic Information
- Other Title
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- 結腸皮膚瘻による皮下膿瘍を契機に診断された Crohn 病の 1 例
- 症例 結腸皮膚痩による皮下膿症を契機に診断されたCrohn病の1例
- ショウレイ ケッチョウ ヒフソウ ニ ヨル ヒカ ノウショウ オ ケイキ ニ シンダン サレタ Crohnビョウ ノ 1レイ
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Description
A 26-year-old Japanese female presented with a two-week history of a gradually growing erythematous swelling on her left lumbar region, 10 cm in diameter with pain and oozing pus. Physical examination showed no fever and no abdominal signs. Contrast-enhanced computed tomography and magnetic resonance imaging revealed that the subcutaneous swelling was connected with an enterocutaneous fistula. Bacterial cultivation identified Escherichia coli and Streptococcus anginosus from the pus. We performed drainage together with administration of antibiotics immediately. A barium enema showed stenosis of the descending colon and enterocutaneous fistula. Colonoscopy showed a cobblestone appearance of the colonic mucosae as well as colonic stenosis. She was diagnosed with an enterocutaneous fistula associated with Crohn's disease, and was treated with anti-TNF-α therapy. Although subcutaneous abscess is common, enterocutaneous fistula caused by Crohn's disease is uncommon. Physicians should consider the possibility of enterocutaneous fistula in cases presenting with a subcutaneous abscess on the trunk.
Journal
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- The Nishinihon Journal of Dermatology
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The Nishinihon Journal of Dermatology 77 (2), 128-130, 2015
Western Division of Japanese Dermatological Association
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Keywords
Details 詳細情報について
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- CRID
- 1390282679279259008
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- NII Article ID
- 130005090237
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- NII Book ID
- AN00183881
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- ISSN
- 18804047
- 03869784
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- NDL BIB ID
- 026357386
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL Search
- Crossref
- CiNii Articles
- OpenAIRE
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- Abstract License Flag
- Disallowed