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Revista Cubana de Medicina General Integral
On-line version ISSN 1561-3038
Abstract
DEL CISNE ONTANEDA CUEVA, Karen and ONTANEDA CUEVA, Jorge Luis. An Adolescent with Ulcerative Colitis. Rev Cubana Med Gen Integr [online]. 2022, vol.38, n.1 Epub Apr 08, 2022. ISSN 1561-3038.
Introduction:
Ulcerative colitis (UC) is an inflammatory bowel disease (IBD) of multifactorial etiology that affects the colon and rectum. Its cardinal symptoms are diarrhea, rectal bleeding and abdominal pain(in severe cases). In its course alternate periods of remission and activity (flares), although in a minority it has continuous activity. The extension may affect the rectum, the left colon or even more zones (pancolitis). Colonoscopy with multiples biopsies is essential to confirm diagnosis and evaluate the extension of the disease.
Objective:
To publicize the clinical picture that allows the diagnostic suspicion of ulcerative colitis at the first level of care.
Clinical case:
We report a clinical case of a patient of 19 years old with a history of chronic bloody diarrhea refractory to various treatments, which remitted itself and later relapsed more severely, making suspicious of an atypical etiology: ulcerative colitis.
Keywords : Inflammatory bowel disease; chronic diarrhea; ulcerative colitis.