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A Case of Inflammatory Bowel Disease Accompanied by Myasthenia Gravis
Authors:Keishi TAKECHI  Masahiro MIHARA  Yoshio SAITO  Tetsuya YAMADA  Hisataka MORIWAKI  Yasutoshi MUTO  Kuniyasu SHIMOKAWA  Junko ENDO  Noriyuki TAKEDA  Hiroshi TANABE
Abstract:Abstract: A 62-year-old female visited our unit complaining of persisting diarrhea. She underwent a thymectomy for myasthenia gravis (MG) and a thyroidectomy for malignancy at age 58, and she was treated medically for MG fbllowing surgery. She also received a partial ileo-colectomy because of an intramural suppurative abscess of the terminal ileum at age 60. In her laboratory data, the anti-acetylcholine receptor antibody and antinuclear antibody were positive, and IgG as well as IgA were a high titer. X-ray and endoscopic examinations revealed the presence of stiff and narrow lesions accompanied by longitudinal ulcers of the descending colon, and rough and granular mucosa of the rest of the colon and stomach. An elemental diet was not effective, but her condition was relieved by the oral administration of prednisolone. This case was considered a case of inflammatory bowel disease ac-companied by MG and systemic immunological disorders.
Keywords:inflammatory bowel disease  myasthenia gravis  systemic immunological disorder
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