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February 1979

Severe Cutaneous Vasculitis Complicating Ulcerative Colitis

Author Affiliations

From the Department of Dermatology, University of Louisville School of Medicine.

Arch Dermatol. 1979;115(2):226-227. doi:10.1001/archderm.1979.04010020064021

Cutaneous manifestations of ulcerative colitis are a relatively common occurrence, most often represented by pyoderma gangrenosum or erythema nodosum.1 Although pyoderma gangrenosum may be a form of cutaneous vasculitis,2 study results to date are inconclusive.3 I am reporting a case of severe cutaneous necrosis with vasculitis in ulcerative colitis, that was successfully treated with corticosteroids.

Report of a Case  A 17-year-old adolescent was transferred to University Hospital in May 1973, with a one-week history of cramping abdominal pain and bloody diarrhea. Three years prior to this, he had been hospitalized with bloody diarrhea and similar abdominal pain. A diagnosis of gastroenteritis was made, and with bed rest the symptoms resolved. Three weeks prior to admission, he noted hematochezia with ten to 15 stools per day and three to four nocturnal stools. During the three-week period, he became anorectic and lost 6.75 kg. He was admitted to another

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