EDITOR'S QUIZ: GI SNAPSHOT......: An unusual cause of rectal bleeding in a patient with rheumatoid arthritis

Hokama, A.; Tanaka, K.; Nakamoto, M.; Uchima, N.; Kinjo, F.; Saito, A.
August 2005
Gut;Aug2005, Vol. 54 Issue 8, p1061
Academic Journal
This article presents a question and its answer related to the diagnosis in case of rectal bleeding in a patient with rheumatoid arthritis. A 75 year old woman presented with rectal bleeding of 10 days' duration. She had a 26 year history of rheumatoid arthritis and duodenal ulcer. A diagnosis of non-steroidal anti-inflammatory drug induced colonic ulcer and stricture was made on the basis of her clinical course. During one year of follow up, hematochezia has not recurred and the stricture has been free from obstruction with stool softener.


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