Presentation
Both diseases can present with involvement of the entire colon (pancolitis) with ulceration, diffuse polyposis, a (pseudo) tumoural mass, or a combination of these. Footnotes Contributors: JC wrote the manuscript. [ncbi.nlm.nih.gov]
Susceptibility Such susceptibility has been suggested for many years in light of the high number of patients in specific ethnic groups, the rare association with genetic diseases and especially the observation of family cases (where similarities in disease presentation [digestscience.com]
Immune System
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Splenomegaly
Cervicothoracoabdominopelvic CT showed extensive lymphadenopathy and splenomegaly, and a lymph node biopsy confirmed the diagnosis. The patient was started on chemotherapy and is currently alive, 6 months after diagnosis, despite the poor prognosis. [ncbi.nlm.nih.gov]
Entire Body System
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Inflammation
Pancolitis, in its most general sense, refers to inflammation of the entire colon. This can be caused by a variety of things. [en.wikipedia.org]
[…] tomographic clinical and pathological parameters with regards to the evolution of chronic pouchitis. 201 patients who underwent a pouch were followed up in a comprehensive pouch clinic and were examined to risk factors including presence of appendiceal inflammation [bdrf.org.uk]
In animal models for IBDs, administration of these bacteria or of the molecules released by these bacteria reduced intestinal inflammation and significantly improved survival. [digestscience.com]
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Fatigue
Severe flare-ups may result in weight loss, severe fatigue and fever. [digestscience.com]
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Lymphadenopathy
Cervicothoracoabdominopelvic CT showed extensive lymphadenopathy and splenomegaly, and a lymph node biopsy confirmed the diagnosis. The patient was started on chemotherapy and is currently alive, 6 months after diagnosis, despite the poor prognosis. [ncbi.nlm.nih.gov]
Gastrointestinal
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Abdominal Pain
He also referred mild abdominal pain, constipation and tenesmus intermittently in the past 4 months. He had been submitted to a colonoscopy 1 year before, and it was unremarkable. [ncbi.nlm.nih.gov]
It may be associated with mucus discharges, diarrhea, abdominal pains, etc. Severe flare-ups may result in weight loss, severe fatigue and fever. [digestscience.com]
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Hematochezia
Description A 63-year-old Caucasian man was admitted to the emergency department due to hematochezia. He also referred mild abdominal pain, constipation and tenesmus intermittently in the past 4 months. [ncbi.nlm.nih.gov]
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Tenesmus
He also referred mild abdominal pain, constipation and tenesmus intermittently in the past 4 months. He had been submitted to a colonoscopy 1 year before, and it was unremarkable. [ncbi.nlm.nih.gov]
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Constipation
He also referred mild abdominal pain, constipation and tenesmus intermittently in the past 4 months. He had been submitted to a colonoscopy 1 year before, and it was unremarkable. [ncbi.nlm.nih.gov]
Musculoskeletal
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Arthralgia
Extra-intestinal symptoms may appear: in the joints (arthralgia, low back pain), on the skin (erythema nodosum), sometimes in the eyes or the liver. In children, ulcerative colitis leads to malnutrition, which may cause severe failure to thrive. [digestscience.com]
Psychiatrical
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Suggestibility
[…] to adenomatous polyposis), or a combination of these. 2 3 Learning points Mantle cell lymphoma is a cause of pancolitis, and its differential diagnosis including IBD can be challenging, mainly if symptoms, patient's age and endoscopic appearance are suggestive [ncbi.nlm.nih.gov]
The Environmental Factor Variations of IBD incidence (number of new cases per year) and prevalence (number of persons affected) over time and space suggest a major environmental factor. IBDs are primarily environmental diseases. [digestscience.com]
Workup
Other Pathologies
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Lymphocytic Infiltrate
Biopsies were performed, which showed a dense lymphocytic infiltrate with small and medium size cells D20 , CD5 , BCL2 , cyclin D1 , CD3 and CD 10 , compatible with a mantle cell lymphoma in colonic mucosa with areas of blastoid variant cells ( figure [ncbi.nlm.nih.gov]
Treatment
As their onset of action occurs within a few months, they cannot be used as a monotherapy for the treatment of flare-ups. They are used in progressive forms or challenging treatment. [digestscience.com]
Prognosis
The patient was started on chemotherapy and is currently alive, 6 months after diagnosis, despite the poor prognosis. [ncbi.nlm.nih.gov]
Epidemiology
Epidemiology shows a higher incidence in industrialized countries and an increasing incidence in westernizing countries. [digestscience.com]
Pathophysiology
The role of these risk genes, their interactions and the consequences of their mutations are researched intensively, but their burden in the pathophysiology of IBDs remain moderate and IBDs are never hereditary diseases. [digestscience.com]
Prevention
All these observations pave the way for new research prospects, the implementation of new diagnostic tools and new hopes for treatment and prevention. [digestscience.com]