Concurrent Ulcerative Colitis in a Pregnant Patient with Rheumatoid Arthritis

被引：1

作者：

Moriya, Kei ^{[1
]}

Hara, Ryota ^{[2
]}

Tomooka, Fumimasa ^{[1
]}

Shimozato, Naotaka ^{[1
]}

Nishimura, Norihisa ^{[1
]}

Kawaratani, Hideto ^{[1
]}

Yoshiji, Hitoshi ^{[1
]}

机构：

[1] Nara Med Univ, Dept Gastroenterol & Hepatol, Kashihara, Japan

[2] Nara Med Univ, Dept Orthoped Surg, Kashihara, Japan

来源：

INTERNAL MEDICINE | 2024年 / 63卷 / 03期

关键词：

golimumab; infusion reaction; pregnancy; rheumatoid arthritis; ulcerative colitis; INFLAMMATORY-BOWEL-DISEASE; RHEUMATOLOGY/EUROPEAN LEAGUE; CLASSIFICATION CRITERIA; AMERICAN-COLLEGE; ASSOCIATION;

D O I：

10.2169/internalmedicine.1833-23

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We herein report a rare concurrent case of ulcerative colitis (UC) in a pregnant woman with rheumatoid arthritis (RA), which was well managed by biologics. When a 32-year-old woman with seropositive RA became pregnant, she began experiencing hematochezia; colonoscopy revealed diffuse inflammation with multiple ulcers. Based on clinical examinations and pathological assessments, she was diagnosed with severe UC. Although prednisolone had no curative effect and infliximab caused an infusion reaction, golimumab successfully induced remission with normal delivery. This case report describes the successful treatment of a pregnant woman with UC and RA through biologics administration.

引用

页码：385 / 391

页数：7

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