Crohn's Disease Accompanied with Small Intestinal Extramedullary Plasmacytoma.


Journal

Internal medicine (Tokyo, Japan)
ISSN: 1349-7235
Titre abrégé: Intern Med
Pays: Japan
ID NLM: 9204241

Informations de publication

Date de publication:
15 Jul 2019
Historique:
pubmed: 29 3 2019
medline: 13 11 2019
entrez: 29 3 2019
Statut: ppublish

Résumé

We herein present the case of an immunocompetent 63-year-old man who had previously undergone resection of Crohn's disease (CD)-related small intestinal obstruction more than 30 years ago. He had not been receiving any medication for many years, but had recently started to suffer from ileus. A stenosed site of ileo-cecal anastomosis was identified and therefore was surgically resected, which was diagnosed as CD with small intestinal extramedullary plasmacytoma (EMP). The subsequent progression of CD was successfully controlled by anti-TNFα agents without any recurrence of EMP for over 3 years, implying the clinical benefit and safety of the biological therapy. This was the first known case of a patient who received anti-TNFα agents after a resection of small intestinal EMP accompanied with CD.

Identifiants

pubmed: 30918171
doi: 10.2169/internalmedicine.1687-18
pmc: PMC6702015
doi:

Substances chimiques

Antineoplastic Agents 0
Gastrointestinal Agents 0
Tumor Necrosis Factor-alpha 0

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

2019-2023

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Auteurs

Yoshinori Hanawa (Y)

Department of Internal Medicine, National Defense Medical College, Japan.

Masaaki Higashiyama (M)

Department of Internal Medicine, National Defense Medical College, Japan.

Kazuki Horiuchi (K)

Department of Internal Medicine, National Defense Medical College, Japan.

Kana Ayaki (K)

Department of Internal Medicine, National Defense Medical College, Japan.

Suguru Ito (S)

Department of Internal Medicine, National Defense Medical College, Japan.

Akinori Mizoguchi (A)

Department of Internal Medicine, National Defense Medical College, Japan.

Shin Nishii (S)

Department of Internal Medicine, National Defense Medical College, Japan.

Akinori Wada (A)

Department of Internal Medicine, National Defense Medical College, Japan.

Kenichi Inaba (K)

Department of Internal Medicine, National Defense Medical College, Japan.

Nao Sugihara (N)

Department of Internal Medicine, National Defense Medical College, Japan.

Hirotaka Furuhashi (H)

Department of Internal Medicine, National Defense Medical College, Japan.

Takeshi Takajo (T)

Department of Internal Medicine, National Defense Medical College, Japan.

Kazuhiko Shirakabe (K)

Department of Internal Medicine, National Defense Medical College, Japan.

Chikako Watanabe (C)

Department of Internal Medicine, National Defense Medical College, Japan.

Kengo Tomita (K)

Department of Internal Medicine, National Defense Medical College, Japan.

Shunsuke Komoto (S)

Department of Internal Medicine, National Defense Medical College, Japan.

Shigeaki Nagao (S)

Department of Internal Medicine, National Defense Medical College, Japan.

Soichiro Miura (S)

Department of Internal Medicine, National Defense Medical College, Japan.

Hideyuki Shimazaki (H)

Department of Laboratory Medicine, National Defense Medical College Hospital, Japan.

Kengo Takeuchi (K)

Pathology Project for Molecular Targets, Cancer Institute, Japanese Foundation for Cancer Research, Japan.

Hideki Ueno (H)

Department of Surgery, National Defense Medical College, Japan.

Ryota Hokari (R)

Department of Internal Medicine, National Defense Medical College, Japan.

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Classifications MeSH