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Case 39 

Case 39
Chapter:
Case 39
Author(s):

Joel David

, Anne Miller

, Anushka Soni

, and Lyn Williamson

DOI:
10.1093/med/9780199587506.003.0039
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date: 23 October 2019

A 35-year-old Caucasian male was referred to the rheumatology clinic with a 1-month history of knee and ankle pain, which had resolved by the time he was seen. He had previously been diagnosed with ulcerative colitis, requiring total colectomy in which a section of the small bowel, including the terminal ileum, had been resected to form an ileo-anal pouch anastomosis. He subsequently had recurrent episodes of pouchitis which were treated with steroids and antibiotics. Six years later he developed florid mouth ulceration.

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